CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Valley Presbyterian Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$65
about 1.4× the $48 Medicare rate · typically $59–$129
modeled estimate · not a bill or quote
What this hospital charges insurers
$59
About the fair price
about $6 under the fair price · 1.2× Medicare
Medicare pays $48 Fair price $65 This hospital $59 Cash price $141 Hospital's list price $141

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $26 Priciest $59

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 $65 (about 1.4× the $48 Medicare rate). Valley Presbyterian Hospital charges insurers about $59, or about $141 in cash — about the fair price. Located in Van Nuys, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $87 - $116 182%
Blue Cross Blue Shieldmajor $57 - $120 119%
Aetnamajor $59 - $104 123%
Cignamajor $65 - $80 136%
Ambetter (Centene) $83 173%
Health Net $59 - $116 123%
+ 2 smaller / regional plans $59 - $91
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 15107 Vanowen St, Van Nuys, CA 91405
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals