CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Bmh-Calhoun
Billing Code: G0009 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: G0009
- Insurance Median: $94
- Cash Discount Price: $63
- vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Pneumonia vaccine injection at Bmh-Calhoun is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 1.96x the Medicare baseline. Located in 140 Burke-Calhoun City Road, Calhoun City, MS.
Cash / Self-Pay
$63
Average discount available for prompt cash payment at this facility.
Insurance Median
$94
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$47.84
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $47.84 (100%)
Cash / Self-Pay: $63 (132%)
Insurance Median: $94 (196%)
Cash: $63 (132% of Medicare)
Ins. Median: $94 (196% of 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| PPO Holdings | $46 | 96% |
| Veterans Evaluation Services | $46 | 96% |
| Molina | $47 - $96 | 98% |
| Magnolia Regional Health Center | $48 | 100% |
| Tricare | $49 | 102% |
| Ms Breast and Cervical | $52 | 109% |
| Triwest | $52 | 109% |
| Vaccn | $52 | 109% |
| Devoted Health | $53 | 111% |
| Blue Cross Blue Shield | $54 - $94 | 113% |
| American Health Plan | $55 | 115% |
| Humana | $55 - $97 | 115% |
| Shared Health | $55 | 115% |
| Primewell | $55 | 115% |
| Aetna | $55 - $79 | 115% |
| Magnolia Ms | $59 | 123% |
| Littler | $60 | 125% |
| Cigna | $67 | 140% |
| First Choice Health Plan of Ms | $78 | 163% |
| First State Bank Trust | $88 | 184% |
| Burch Food Services | $88 | 184% |
| Rei Nation | $94 | 196% |
| Collierville Schools | $94 | 196% |
| Heartland Catfish Company | $94 | 196% |
| Malco Theaters | $94 | 196% |
| Desoto Co Board of Supervisors | $94 | 196% |
| Mid-South Transport | $94 | 196% |
| Patterson Warehouses | $94 | 196% |
| Retzer Resources | $94 | 196% |
| Delta Industries | $94 | 196% |
| Dunn Investment Company | $94 | 196% |
| Minact | $94 | 196% |
| Town of Collierville | $94 | 196% |
| Bartlett City Schools | $94 | 196% |
| First Community Bank | $94 | 196% |
| Carlisle | $94 | 196% |
| Jas D Collier | $94 | 196% |
| Hattiesburg Clinic | $94 | 196% |
| Crittenden County | $94 | 196% |
| Watkins Uiberall | $94 | 196% |
| City of Bartlett | $94 | 196% |
| Lakeland School System | $94 | 196% |
| Gossett Motor Cars | $94 | 196% |
| Vaughn Electric | $94 | 196% |
| Brimhall Foods | $94 | 196% |
| Cannon Motor Company | $94 | 196% |
| French Camp Academy | $94 | 196% |
| City of Lakeland | $94 | 196% |
| Security One | $94 | 196% |
| Silver Tree | $94 | 196% |
| Hollowell Industries | $94 | 196% |
| Building Plastic | $94 | 196% |
| Heavy Machines | $94 | 196% |
| State Systems | $94 | 196% |
| W W Wood Products | $94 | 196% |
| W G Yates | $94 | 196% |
| Radians | $94 | 196% |
| Arlington Community Schools | $94 | 196% |
| Hospitality Management Advisors | $94 | 196% |
| Ashley Furniture Stores | $94 | 196% |
| Ritchey Automotive | $94 | 196% |
| United Tn Holdings | $94 | 196% |
| Y K Auto Group | $94 | 196% |
| Armstrong Relocation | $94 | 196% |
| Mechanical Systems | $94 | 196% |
| Eas Mssc Schools | $94 | 196% |
| Davidson Hospitality | $94 | 196% |
| Advanced Health Systems Inc. | $97 | 203% |
| Christian Health Aid | $97 | 203% |
| PPO Plus | $103 | 215% |
| Employers Health Network | $104 | 217% |
| Harding Academy | $104 | 217% |
| Qca | $109 | 228% |
| Multiplan | $109 | 228% |