Pneumonia vaccine injection
Facility: Stoughton Hospital
Billing Code: G0009 (HCPCS)
Highest price of the 9 WI hospitals we have prices for — worth calling around.
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 $45 (about 0.9× the $48 Medicare rate). Stoughton Hospital charges insurers about $48, or about $36 in cash — about the fair price. Located in Stoughton, WI.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
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 | $48 - $53 | 100% |
| Blue Cross Blue Shieldmajor | $58 | 121% |
| Aetnamajor | $20 - $56 | 42% |
| Cignamajor | $53 | 111% |
| Humanamajor | $19 - $59 | 40% |
| Dean Health Plan | $19 - $50 | 40% |
| GEHA | $50 | 105% |
| Health Net | $18 | 38% |
| Quartz | $19 - $40 | 40% |
| + 2 smaller / regional plans | $38 - $59 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Stoughton Hospital
Compare: Pneumonia vaccine injection at other WI hospitals
- Door County Medical Center · Sturgeon Bay $31
- Ascension Ne Wisconsin - St Elizabeth Campus · Appleton $32
- Richland Hospital · Richland Center $37
- SSM Health St Clare Hospital - Baraboo · Baraboo $40
- SSM Health St Mary's Hospital - Madison · Madison $40
- SSM Health St Mary's Hospital - Janesville · Janesville $41
- Thedacare Regional Medical Center - Appleton Inc · Appleton $43
- Thedacare Regional Med Ctr - Neenah · Neenah $44
Insurance negotiated median for the same procedure, sorted lowest first.