CMS Price Transparency Data

Pneumonia vaccine injection

Facility: San Gabriel Valley Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$62
about 1.3× the $48 Medicare rate · typically $50–$63
modeled estimate · not a bill or quote
What this hospital charges insurers
$60
About the fair price
about $2 under the fair price · 1.3× Medicare
Medicare pays $48 Fair price $62 This hospital $60 Cash price $36 Hospital's list price $120

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 $60

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 $62 (about 1.3× the $48 Medicare rate). San Gabriel Valley Medical Center charges insurers about $60, or about $36 in cash — about the fair price. Located in San Gabriel, CA.

What each insurance company pays

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

5 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 $37 - $171 77%
Blue Cross Blue Shieldmajor $27 - $258 56%
Aetnamajor $59 - $87 123%
Cignamajor $61 128%
Humanamajor $59 123%
Health Net $58 - $169 121%
Molina $47 - $63 98%
WellCare $59 123%
+ 30 smaller / regional plans $30 - $120
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 438 W Las Tunas Drive, San Gabriel, CA 91776
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals