CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Sauk Prairie Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$44
about 0.9× the $48 Medicare rate · typically $43–$91
modeled estimate · not a bill or quote
What this hospital charges insurers
$45
About the fair price
about $1 over the fair price · 0.9× Medicare
Medicare pays $48 Fair price $44 This hospital $45

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $31 Priciest $45

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

A fair price for a Pneumonia vaccine injection is about $44 (about 0.9× the $48 Medicare rate). Sauk Prairie Hospital charges insurers about $45 — about the fair price. Located in Prairie Du Sac, WI.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $45 94%
Blue Cross Blue Shieldmajor $45 94%
Humanamajor $45 94%
Dean Health Plan $45 94%
Quartz $45 - $122 94%
+ 1 smaller / regional plan $76

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Facility Profile & Credentials

  • Address: 260 26Th Street, Prairie Du Sac, WI 53578
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals