CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Ohio Valley Surgical Hospital

Billing Code: G0009 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0009
  • Insurance Median: $4,022
  • Cash Discount Price: $77
  • vs. Medicare Baseline: 84.07x Medicare
The contracted insurance negotiated median rate for a Pneumonia vaccine injection at Ohio Valley Surgical Hospital is $4,022. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 84.07x the Medicare baseline. Located in 100 West Main Street, Springfield, OH.
Cash / Self-Pay
$77

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,022

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: $77 (161%)
Insurance Median: $4,022 (8407%)
Cash: $77 (161% of Medicare)
Ins. Median: $4,022 (8407% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 8407% of the Medicare baseline (a markup of 8307%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Mhbp $12 - $20,896 25%
Aetna $12 - $20,896 25%
Pacific Source $12 - $20,896 25%
Ngs Coresource $12 - $20,896 25%
Personify Health $12 - $20,896 25%
Nippon Life $12 - $20,896 25%
Geha $12 - $20,896 25%
Mail Handlers $12 - $20,896 25%
Genworth $12 - $20,896 25%
Meritain $12 - $20,896 25%
Meritain Heatlh $12 - $20,896 25%
Molina McR McD $44 - $11,885 92%
Bankers Fidelity $44 - $11,885 92%
Prosperity Supplement $44 - $11,885 92%
Blue Cross Blue Shield $44 - $40,293 92%
Molina Dual McR $44 - $11,885 92%
Gateway Health Plan $44 - $11,885 92%
Self Pay Imaging $44 - $11,885 92%
Molina McR $44 - $11,885 92%
American Continental Insurance $44 - $11,885 92%
Molina Marketplace $44 - $11,885 92%
Molina Dual McR $44 - $11,885 92%
Wellcare By Allwell $44 - $11,885 92%
Cigna $44 - $18,817 92%
American Republic $44 - $11,885 92%
UnitedHealthcare $44 - $17,571 92%
Medicare (plans) $44 - $12,264 92%
Wraparound Pl Supp $44 - $11,885 92%
Medigold $44 - $11,885 92%
Champus $44 - $11,885 92%
Molina McR+McD $44 - $11,885 92%
Everest $44 - $11,885 92%
Aarp Supplemental $44 - $11,885 92%
Aultcare Primetime Health Plan $44 - $11,885 92%
Humana $44 - $11,919 92%
Patient No Pay $44 - $11,885 92%
Communicare Advantage $44 - $11,885 92%
Bankers Life and Casualty $44 - $11,885 92%
American Retirement $44 - $11,885 92%
Molina $44 - $11,885 92%
Mmoh $44 - $11,885 92%
Central States $44 - $11,885 92%
American Continental Life $44 - $11,885 92%
Aarp $44 - $11,885 92%
The Health Plan $46 - $12,479 96%
Devoted Health $48 - $13,707 100%
Employer Direct $51 - $15,703 107%
Mmoh (Supermed) $59 - $60 123%
Mmo Cin. HMO $59 - $81 123%
Medicaid / KanCare $66 - $17,827 138%
Caresource $66 - $17,827 138%
Caresourse $66 - $17,827 138%
Healthgram $71 - $18,817 148%
Samba $71 - $18,817 148%
Unified Group $71 - $18,817 148%
Nalc $71 - $18,817 148%
Sbma $71 - $18,817 148%
Preferred Health $115 240%
Luminare Health $115 240%
Ohio Health $115 240%
Medben $115 240%
Amerihealth Caritas of Ohio $3,657 7644%
Buckeye Community Health Plan $4,022 8407%
Molina McD $4,084 8537%
Surest $17,571 36729%
Ushealth $17,571 36729%
Oxford $17,571 36729%
Golden Rule $17,571 36729%
Medica $17,571 36729%
Shl $17,571 36729%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 West Main Street, Springfield, OH 45502
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals