CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Sentara Martha Jefferson Hospital
Billing Code: G0009 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$47
about 1.0× the $48 Medicare rate · typically $46–$70
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $47 Cash price $21 Hospital's list price $41
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| Blue Cross Blue Shieldmajor | $48 - $167 | 100% |
| Aetnamajor | $48 | 100% |
| Humanamajor | $47 | 98% |
| Sentara | $47 | 98% |
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Other Procedures at Sentara Martha Jefferson Hospital
Compare: Pneumonia vaccine injection at other VA hospitals
- Virginia Hospital Center · Arlington $46
- Russell County Hospital · Lebanon $48
- Sentara Norfolk General Hospital · Norfolk $48
- Sentara Halifax Regional Hospital · South Boston $48
- Smyth County Community Hospital · Marion $48
- Sentara Obici Hospital · Suffolk $48
- Sentara Leigh Hospital · Norfolk $48
- Johnston Memorial Hospital · Abingdon $48
Insurance negotiated median for the same procedure, sorted lowest first.