CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Grossmont Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$56
about 1.2× the $48 Medicare rate · typically $49–$87
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $56 Cash price $68 Hospital's list price $90

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $41 - $72 86%
Blue Cross Blue Shieldmajor $14 - $626 29%
Aetnamajor $43 - $120 90%
Cignamajor $38 - $63 79%
Humanamajor $45 94%
Kaiser Permanentemajor $63 132%
Health Net $43 - $68 90%
Molina $31 - $38 65%
+ 6 smaller / regional plans $37 - $69
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 5555 Grossmont Center Drive Box 58, La Mesa, CA 91942
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals