CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Dickenson Community Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$54
about 1.1× the $48 Medicare rate · typically $18–$104
modeled estimate · not a bill or quote
What this hospital charges insurers
$58
About the fair price
about $4 over the fair price · 1.2× Medicare
Medicare pays $48 Fair price $54 This hospital $58 Cash price $13 Hospital's list price $58

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $46 Priciest $58

Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.

A fair price for a Pneumonia vaccine injection is about $54 (about 1.1× the $48 Medicare rate). Dickenson Community Hospital charges insurers about $58, or about $13 in cash — about the fair price. Located in Clintwood, VA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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
UnitedHealthcaremajor $22 - $58 46%
Blue Cross Blue Shieldmajor $19 - $58 40%
Aetnamajor $46 - $75 96%
Cignamajor $23 - $28 48%
Molina $75 157%
Sentara $21 - $72 44%
+ 1 smaller / regional plan $58
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 312 Hospital Drive, Clintwood, VA 24228
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals