Pneumonia vaccine injection
Facility: Atlanticare Regional Medical Center - City Campus
Billing Code: G0009 (HCPCS)
- CPT Billing Code: G0009
- Insurance Median: $121
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.53x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 253% of the Medicare baseline (a markup of 153%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Americhoice | $18 - $24 | 38% |
| UnitedHealthcare | $18 - $132 | 38% |
| Horizon | $19 - $130 | 40% |
| Wellcare | $19 - $26 | 40% |
| Self Pay | $21 - $28 | 44% |
| Amerigroup | $36 - $48 | 75% |
| Tricare | $46 | 96% |
| Devoted Health Plan | $54 | 113% |
| Magnacare | $55 - $167 | 115% |
| Cigna | $58 - $94 | 121% |
| Qualcare Commercial | $69 - $93 | 144% |
| Evernorth | $69 - $93 | 144% |
| Great West Life | $70 - $94 | 146% |
| Global Exchange Managed Care | $79 | 165% |
| Aetna | $79 - $154 | 165% |
| Amerihealth | $89 - $156 | 186% |
| Active Care Plus | $90 - $121 | 188% |
| Qualcare Wc | $90 - $121 | 188% |
| First McO | $90 - $121 | 188% |
| Mutual of Omaha | $90 - $121 | 188% |
| Donio Trucking | $97 - $130 | 203% |
| Consumer Health Network (Chn) | $97 - $167 | 203% |
| Oxford | $104 - $140 | 217% |
| Devon/ Ullicare | $104 - $140 | 217% |
| Health Partners Plan | $105 | 219% |
| Coventry Health Care | $110 - $149 | 230% |
| Private Healthcare System (PHCS) | $110 - $149 | 230% |
| Blue Cross Blue Shield | $114 - $153 | 238% |
| Health South | $117 - $158 | 245% |
| Three Rivers Provider Network (Trpn) | $117 - $158 | 245% |
| Health Payors Org | $117 - $158 | 245% |
| Prime Health Services | $117 - $158 | 245% |
| Metrahealth of Nj | $117 - $158 | 245% |
| Intergroup Preferred Program | $124 - $167 | 259% |
| Metracomp | $124 - $167 | 259% |
| Provider Select, Inc | $124 - $167 | 259% |
| McS Commercial | $124 - $167 | 259% |
| Health Network Inc | $124 - $167 | 259% |
| Department of Corrections | $124 - $167 | 259% |
| Choice Care | $124 - $167 | 259% |
| Beech Street | $124 - $167 | 259% |
| Galaxy Health Network | $124 - $167 | 259% |
| Multiplan | $124 - $167 | 259% |
| Active Care Nj Pip | $124 - $167 | 259% |
| Master Care Inc | $128 - $172 | 268% |
| Atlantis Health Plan | $128 - $172 | 268% |
| National Health Plan | $131 - $177 | 274% |
| Health Network America | $131 - $177 | 274% |
| McSi/Mrsi Worker's Comp | $131 - $177 | 274% |
| Advance Healthcare System | $131 - $177 | 274% |
| Community Care Network | $131 - $177 | 274% |
| McSi/Mrsi No Fault | $131 - $177 | 274% |