CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Alhambra Hospital Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$64
about 1.3× the $48 Medicare rate · typically $58–$72
modeled estimate · not a bill or quote
What this hospital charges insurers
$59
About the fair price
about $5 under the fair price · 1.2× Medicare
Medicare pays $48 Fair price $64 This hospital $59 Cash price $58 Hospital's list price $58

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 $64 (about 1.3× the $48 Medicare rate). Alhambra Hospital Medical Center charges insurers about $59, or about $58 in cash — about the fair price. Located in Alhambra, 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 $60 - $145 125%
Blue Cross Blue Shieldmajor $50 - $93 105%
Aetnamajor $33 - $60 69%
Cignamajor $26 - $30 54%
Humanamajor $60 125%
Kaiser Permanentemajor $36 75%
Health Net $59 - $74 123%
Molina $23 - $74 48%
WellCare $20 - $60 42%
+ 13 smaller / regional plans $18 - $90
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: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals