CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Thedacare Regional Medical Center - Appleton Inc

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$42
about 0.9× the $48 Medicare rate · typically $29–$106
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
About the fair price
about $1 over the fair price · 0.9× Medicare
Medicare pays $48 Fair price $42 This hospital $43 Cash price $63 Hospital's list price $112

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

On the higher side — 6 of 8 other WI hospitals charge less.

Cheapest $31 Priciest $44

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 $42 (about 0.9× the $48 Medicare rate). Thedacare Regional Medical Center - Appleton Inc charges insurers about $43, or about $63 in cash — about the fair price. Located in Appleton, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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 $43 90%

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Facility Profile & Credentials

  • Address: 1818 N Meade St, Appleton, WI 54911
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals