Pneumonia vaccine injection
Facility: Mercyone Oelwein Medical Center
Billing Code: G0009 (HCPCS)
- CPT Billing Code: G0009
- Insurance Median: $27
- Cash Discount Price: $35
- vs. Medicare Baseline: 0.56x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $47.84 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $8 - $35 | 17% |
| Blue Cross Blue Shield | $8 - $36 | 17% |
| Iowa Total Care | $8 - $34 | 17% |
| Medicare (plans) | $8 - $37 | 17% |
| UnitedHealthcare | $9 - $76 | 19% |
| Aetna | $9 - $81 | 19% |
| Amish Hospital Aid | $11 - $48 | 23% |
| Centivo | $12 - $54 | 25% |
| Medical Associates | $14 - $65 | 29% |
| Ambetter / Centene | $14 - $61 | 29% |
| Health Choices | $14 - $65 | 29% |
| Claimdoc | $16 - $73 | 33% |
| Nova | $16 - $73 | 33% |
| Geha | $17 - $76 | 36% |
| Medical Mutual | $18 - $81 | 38% |
| 1199 National Benefit Fund | $18 - $81 | 38% |
| Coventry | $18 - $81 | 38% |
| Christian Brother Services | $18 - $81 | 38% |
| Lucent Health | $18 - $81 | 38% |
| Luminare Health | $18 - $81 | 38% |
| Webtpa | $18 - $81 | 38% |
| Meritain | $18 - $81 | 38% |
| Trustmark Small Business Benefits | $18 - $81 | 38% |
| Asr Health Benefits | $18 - $81 | 38% |
| First Health | $18 - $81 | 38% |
| Allied Benefit Systems | $18 - $81 | 38% |
| Multiplan | $19 - $85 | 40% |
| Health Partners | $19 - $85 | 40% |
| Midlands | $19 - $86 | 40% |
| Auxiant | $19 - $86 | 40% |
| Cigna | $19 - $86 | 40% |
| Medica | $19 - $86 | 40% |
| Midlands Choice | $19 - $86 | 40% |
| Iowa Dept of Public Health | $20 - $88 | 42% |
| Crime Victim Assistance | $20 - $88 | 42% |