CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Northeastern Vermont Regional Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$48
about 1.0× the $48 Medicare rate · typically $11–$168
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
Below the fair price — a good deal
about $18 under the fair price · 0.6× Medicare
Medicare pays $48 Fair price $48 This hospital $30 Cash price $28 Hospital's list price $38

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

One of the lower prices — 4 of 5 other VT hospitals charge more for the same procedure.

Cheapest $24 Priciest $44

Black dot = this hospital, among the 6 VT hospitals with a price for this procedure. Full list below.

A fair price for a Pneumonia vaccine injection is about $48 (about 1.0× the $48 Medicare rate). Northeastern Vermont Regional Hospital charges insurers about $30, or about $28 in cash — below the fair price — a good deal. Located in Saint Johnsbury, VT.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $25 - $47 52%
Blue Cross Blue Shieldmajor $10 - $18 21%
Harvard Pilgrim $24 - $46 50%
+ 1 smaller / regional plan $9 - $34

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1315 Hospital Drive, Saint Johnsbury, VT 05819
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals