Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC ADMIN PNEUMOCCAL VACC
Low
$0
Average
$106
Median
$47
High
$1.8k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
92 hospitals; the 90th percentile is 6.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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194 hospital rates
iThe hospitals that file a Wellmark rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $36 | $36 | — | — | 296 | $36 – $36 |
| 2 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $61 | $61 | — | — | 268 | $61 – $61 |
| 3 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $73 | $73 | — | — | 204 | $73 – $73 |
| 4 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $87 | $87 | — | — | 179 | $87 – $87 |
| 5 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $87 | $87 | — | — | 179 | $87 – $87 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 3 | $27 | $27 | $3 | 10% | 105 | $25 – $31 |
| 7 | Avera Holy Family Hospital Estherville, IA case rate · outpatient | 2 | $74 | $74 | — | — | 52 | $74 – $74 |
| 8 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $74 | $74 | — | — | 31 | $74 – $74 |
| 9 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $74 | $74 | — | — | 31 | $74 – $74 |
| 10 | Avera Gregory Hospital Gregory, SD outpatient | 1 | $74 | $74 | — | — | 27 | $74 – $74 |
| 11 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | 27 | $68 – $68 |
| 12 | Avera Missouri River Health Center Gettysburg, SD outpatient | 1 | $74 | $74 | — | — | 27 | $74 – $74 |
| 13 | Avera Missouri River Health Center Gettysburg, SD percent of total billed charges · outpatientfrom % of charges | 1 | $78 | $78 | — | — | 27 | $78 – $78 |
| 14 | Avera Behavioral Health Hospital Sioux Falls, SD case rate · outpatient | 2 | $238 | $238 | — | — | 24 | $238 – $238 |
| 15 | Avera Specialty Hospital Sioux Falls, SD case rate · outpatient | 2 | $238 | $238 | — | — | 24 | $238 – $238 |
| 16 | Avera Dell Rapids Hospital Dell Rapids, SD outpatient | 1 | $73 | $73 | — | — | 17 | $73 – $73 |
| 17 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | — | — | 17 | $62 – $62 |
| 18 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · both | 1 | $50 | $50 | — | — | 17 | $50 – $50 |
| 19 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · outpatient | 1 | $50 | $50 | — | — | 17 | $50 – $50 |
| 20 | Avera DeSmet De Smet, SD outpatient | 1 | $55 | $55 | — | — | 11 | $55 – $55 |
| 21 | Avera DeSmet De Smet, SD percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | 11 | $42 – $42 |
| 22 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 2 | $41 | $41 | $2 | 5% | 2–20 | $39 – $43 |
| 23 | Wagner Community Memorial Wagner, SD outpatient | 1 | $74 | $74 | — | — | 2–20 | $74 – $74 |
| 24 | Wagner Community Memorial Wagner, SD percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | — | — | 2–20 | $60 – $60 |
| 25 | Avera Creighton Hospital Creighton, NE inpatient | 1 | $78 | $78 | — | — | 1–10 | $78 – $78 |
← Payers reporting HCPCS G0009 · Snapshot 20261111T120946Z-9134e7f7