CMS Price Transparency Data

Pneumonia vaccine injection

Facility: City of Hope National Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$75
about 1.6× the $48 Medicare rate · typically $18–$181
modeled estimate · not a bill or quote
What this hospital charges insurers
$35
Below the fair price — a good deal
about $40 under the fair price · 0.7× Medicare
Medicare pays $48 Fair price $75 This hospital $35 Cash price $70 Hospital's list price $140

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

On the higher side — 6 of 8 other CA hospitals charge less.

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 $75 (about 1.6× the $48 Medicare rate). City of Hope National Medical Center charges insurers about $35, or about $70 in cash — below the fair price — a good deal. Located in Duarte, 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✓ Kaiser Permanente Humana

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 $39 82%
Blue Cross Blue Shieldmajor $35 - $83 73%
Aetnamajor $70 146%
Cignamajor $75 157%
Kaiser Permanentemajor $63 132%
Health Net $27 - $82 56%
Molina $70 - $91 146%
+ 9 smaller / regional plans $35 - $91
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: 1500 Duarte Rd, Duarte, CA 91010
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL