CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Saint Agnes Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$52
about 1.1× the $48 Medicare rate · typically $28–$64
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
Below the fair price — a good deal
about $18 under the fair price · 0.7× Medicare
Medicare pays $48 Fair price $52 This hospital $34 Cash price $63 Hospital's list price $76

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

A typical price — 3 charge more and 3 charge less, among the 9 CA hospitals compared.

Cheapest $26 Priciest $42

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Pneumonia vaccine injection is about $52 (about 1.1× the $48 Medicare rate). Saint Agnes Medical Center charges insurers about $34, or about $63 in cash — below the fair price — a good deal. Located in Fresno, CA.

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 $14 - $85 29%
Blue Cross Blue Shieldmajor $12 - $125 25%
Aetnamajor $12 - $59 25%
Cignamajor $32 - $56 67%
Humanamajor $34 - $62 71%
Kaiser Permanentemajor $14 - $105 29%
Clover Health $34 71%
GEHA $15 - $85 31%
Health Net $35 - $59 73%
Meridian $34 71%
Presbyterian $34 71%
WellMed $34 71%
+ 94 smaller / regional plans $14 - $125
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1303 E Herndon Ave, Fresno, CA 93720
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals