CMS Price Transparency Data

Pneumonia vaccine injection

Facility: St Marys Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$42
about 0.9× the $48 Medicare rate · typically $22–$60
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 $77 Hospital's list price $77

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

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

Cheapest $23 Priciest $48

Black dot = this hospital, among the 9 WV 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). St Marys Medical Center charges insurers about $43, or about $77 in cash — about the fair price. Located in Huntington, WV.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $26 - $77 54%
Blue Cross Blue Shieldmajor $37 - $322 77%
Aetnamajor $43 - $73 90%
Cignamajor $68 - $74 142%
Humanamajor $42 - $46 88%
CareSource $71 - $77 148%
+ 3 smaller / regional plans $42 - $77
Government programs also on file: Medicare.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2900 1St Avenue, Huntington, WV 25702
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals