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HCPCS G0009
IMM ADM PNEU VACCINE - as described in hospitals' own price files.
80hospitals publishing a price
$49.20median cash price
$79.19median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Swedish Edmonds Hospital | Edmonds, WA | $19.68 | - | $41.00 | - |
| Christus St. Frances Cabrini Hospital | Alexandria, LA | $21.84 | - | $84.00 | $10.08 - $108 |
| Warren General Hospital | Warren, PA | $32.00 | $22.13 | $32.00 | $10.50 - $138 |
| Providence Hood River Memorial Hospital | Hood River, OR | $23.25 | - | $31.00 | - |
| Providence Seaside Hospital | Seaside, OR | $23.25 | - | $31.00 | - |
| Robert Wood Johnson University Hospital At Hamilton | Hamilton, NJ | $28.51 | - | $174 | $21.15 - $223 |
| Robert Wood Johnson University Hospital - Somerset | Somerville, NJ | $29.40 | - | $174 | $20.32 - $159 |
| Hardin Memorial Hospital | Kenton, OH | $31.20 | - | $48.00 | - |
| Ohiohealth O'Bleness Hospital | Athens, OH | $31.20 | - | $48.00 | - |
| Berger Hospital | Circleville, OH | $32.50 | - | $50.00 | - |
| Doctors Hospital | Columbus, OH | $32.50 | - | $50.00 | - |
| Grady Memorial Hospital | Delaware, OH | $32.50 | - | $50.00 | - |
| Dublin Methodist Hospital | Dublin, OH | $32.50 | - | $50.00 | - |
| Grant Medical Center | Columbus, OH | $32.50 | - | $50.00 | - |
| Riverside Methodist Hospital | Columbus, OH | $32.50 | - | $50.00 | - |
| Chi-St Vincent Infirmary | Little Rock, AR | $33.88 | - | $132 | $27.22 - $64.37 |
| Ohiohealth Shelby Hospital | Shelby, OH | $35.75 | - | $55.00 | - |
| Chi St. Luke'S Health Brazosport | Lake Jackson, TX | $38.15 | - | $109 | $16.35 - $109 |
| Texoma Medical Center | Denison, TX | $125 | $44.99 | $167 | $2.46 - $154 |
| St. Luke'S Patients Medical Center | Pasadena, TX | $45.15 | - | $129 | $37.00 - $129 |
| Providence Redwood Memorial Hospital | Fortuna, CA | $46.92 | - | $92.00 | - |
| Penn State Health Holy Spirit Medical Center | Camp Hill, PA | $71.67 | $48.05 | $300 | $11.50 - $240 |
| George Washington Univ Hospital | Washington, DC | $41.20 | $49.01 | $103 | $28.84 - $147 |
| Christus Southeast Texas- St. Elizabeth | Beaumont, TX | $49.17 | - | $149 | $14.90 - $229 |
| Excela Health Westmoreland Regional Hospital | Greensburg, PA | $40.80 | $50.23 | $68.00 | $6.57 - $171 |
| Penn State Health Hampden Medical Center | Enola, PA | $94.41 | $52.17 | $300 | $38.90 - $240 |
| South Texas Health System | Edinburg, TX | $263 | $53.12 | $351 | $22.74 - $318 |
| Medical Center Enterprise | Enterprise, AL | $19.46 | $53.38 | $216 | $15.79 - $458 |
| Regional Hospital Of Scranton | Scranton, PA | $78.57 | $53.90 | $291 | $10.00 - $302 |
| Gadsden Regional Medical Center | Gadsden, AL | $26.22 | $53.97 | $218 | $15.79 - $1,525 |
| Milton S Hershey Medical Center | Hershey, PA | $99.39 | $54.00 | $300 | $42.21 - $267 |
| Penn State Health St. Joseph | Reading, PA | $78.03 | $54.29 | $300 | $40.48 - $259 |
| Merit Health Natchez | Natchez, MS | $64.62 | $54.75 | $359 | $17.55 - $359 |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $56.64 | - | $118 | - |
| Swedish Issaquah | Issaquah, WA | $56.64 | - | $118 | - |
| Northwest Health - Porter | Valparaiso, IN | $30.90 | $56.77 | $114 | $16.43 - $189 |
| Merit Health Wesley | Hattiesburg, MS | $45.89 | $58.04 | $218 | $15.63 - $218 |
| Oro Valley Hospital | Oro Valley, AZ | $69.08 | $58.84 | $288 | $22.43 - $259 |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | $59.72 | - | $280 | $20.32 - $233 |
| Merit Health River Region | Vicksburg, MS | $55.98 | $62.20 | $311 | $25.00 - $311 |
| Corona Regional Medical Center | Corona, CA | - | $62.36 | $194 | $41.03 - $175 |
| Aiken Regional Medical Center | Aiken, SC | $36.00 | $65.43 | $90.00 | $25.20 - $2,513 |
| Wellington Regional Medical Center | Wellington, FL | $49.60 | $67.13 | $124 | $18.60 - $258 |
| St. Mary'S Regional Medical Center | Enid, OK | - | $69.21 | $718 | $18.31 - $567 |
| Wilkes-Barre General Hospital | Wilkes-Barre, PA | $79.92 | $71.59 | $333 | $10.00 - $308 |
| East Georgia Regional Medical Center | Statesboro, GA | $42.53 | $74.33 | $158 | $7.27 - $900 |
| Merit Health Central | Jackson, MS | $108 | $84.05 | $431 | $2.46 - $1,465 |
| Plains Regional Medical Center | Clovis, NM | $55.35 | $84.08 | $205 | $31.12 - $263 |
| Western Arizona Regional Medical Center | Bullhead City, AZ | $48.07 | $84.12 | $401 | $20.86 - $381 |
| North Okaloosa Medical Center | Crestview, FL | $45.05 | $86.02 | $250 | $16.93 - $288 |
| Temecula Valley Hospital | Temecula, CA | - | $86.06 | $254 | $56.50 - $229 |
| Alliancehealth Madill | Madill, OK | $72.65 | $89.73 | $208 | $2.46 - $181 |
| Lower Keys Medical Center | Key West, FL | $32.40 | $90.00 | $120 | $18.30 - $120 |
| Merit Health River Oaks | Flowood, MS | $94.80 | $90.06 | $431 | $38.39 - $431 |
| Moberly Regional Medical Center | Moberly, MO | $52.87 | $92.31 | $196 | $28.73 - $217 |
| Crestwood Medical Center | Huntsville, AL | $43.06 | $95.68 | $239 | $40.31 - $203 |
| Spring Valley Hospital Medical Center | Las Vegas, NV | - | $96.52 | $409 | $31.26 - $346 |
| Dukes Memorial Hospital | Peru, IN | $104 | $98.46 | $209 | $20.73 - $209 |
| Bluffton Regional Medical Center | Bluffton, IN | $47.76 | $101 | $199 | $20.73 - $191 |
| Eastern New Mexico Medical Center | Roswell, NM | $39.27 | $103 | $187 | $31.12 - $178 |
| Orange County Global Medical Center | Santa Ana, CA | $104 | - | $200 | - |
| Los Angeles General Medical Center | Los Angeles, CA | $104 | - | $200 | - |
| Lompoc Valley Medical Center | Lompoc, CA | $104 | - | $200 | - |
| Northern Nevada Medical Center | Sparks, NV | - | $105 | $375 | $31.26 - $299 |
| Carlsbad Medical Center | Carlsbad, NM | $15.84 | $106 | $158 | $2.46 - $180 |
| Dupont Hospital LLC | Fort Wayne, IN | $63.99 | $106 | $237 | $20.73 - $213 |
| Saint Barnabas Behavioral Health Center | Toms River, NJ | $109 | - | $302 | $52.24 - $266 |
| Henderson Hospital | Henderson, NV | - | $109 | $409 | $31.26 - $346 |
| Chi St. Vincent Hospital Hot Springs | Hot Springs, AR | $111 | - | $111 | $27.22 - $88.80 |
| Grandview Medical Center | Birmingham, AL | $49.20 | $118 | $328 | $15.79 - $311 |
| San Francisco VA Medical Center | San Francisco, CA | $123 | - | $219 | - |
| San Mateo Medical Center | San Mateo, CA | $123 | - | $219 | - |
| Tri-City Medical Center | Oceanside, CA | $123 | - | $219 | - |
| Santa Clara Valley Medical Center | San Jose, CA | $123 | - | $219 | - |
| Sutter Medical Center, Sacramento | Sacramento, CA | $123 | - | $219 | - |
| Sutter Roseville Medical Center | Roseville, CA | $123 | - | $219 | - |
| Lakewood Ranch Medical Center | Bradenton, FL | - | $131 | $771 | $16.55 - $41,634 |
| Northeast Regional Medical Center | Kirksville, MO | $74.13 | $142 | $309 | $42.00 - $278 |
| Flowers Hospital | Dothan, AL | $75.24 | $163 | $502 | $15.79 - $451 |
| Mat-Su Regional Medical Center | Palmer, AK | $84.00 | $199 | $280 | $45.26 - $284 |
Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.
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