CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Natividad 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 $34–$75
modeled estimate · not a bill or quote
What this hospital charges insurers
$75
Above the fair price
about $13 over the fair price · 1.6× Medicare
Medicare pays $48 Fair price $62 This hospital $75 Cash price $80 Hospital's list price $80

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 $75

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). Natividad Medical Center charges insurers about $75, or about $80 in cash — above the fair price. Located in Salinas, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $62. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $62 130%
Blue Cross Blue Shieldmajor $52 109%
Aetnamajor $60 125%
Cignamajor $68 142%
+ 3 smaller / regional plans $44 - $83
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1441 Constitution Boulevard, Salinas, CA 93906
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals