CMS Price Transparency Data

Pneumonia vaccine injection

Facility: SSM Health St Mary's Hospital - Janesville

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$53
about 1.1× the $48 Medicare rate · typically $40–$103
modeled estimate · not a bill or quote
What this hospital charges insurers
$41
Below the fair price — a good deal
about $12 under the fair price · 0.9× Medicare
Medicare pays $48 Fair price $53 This hospital $41 Cash price $90 Hospital's list price $164

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

A typical price — 3 charge more and 5 charge less, among the 9 WI hospitals compared.

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 $53 (about 1.1× the $48 Medicare rate). SSM Health St Mary's Hospital - Janesville charges insurers about $41, or about $90 in cash — below the fair price — a good deal. Located in Janesville, WI.

What each insurance company pays

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

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

UnitedHealthcareBlue 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
Dean Health Plan $47 98%
Molina $35 73%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 3400 East Racine Street, Janesville, WI 53546
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals