CMS Price Transparency Data

Pneumonia vaccine injection

Facility: AHMC Seton Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$67
about 1.4× the $48 Medicare rate · typically $56–$90
modeled estimate · not a bill or quote
What this hospital charges insurers
$69
About the fair price
about $2 over the fair price · 1.4× Medicare
Medicare pays $48 Fair price $67 This hospital $69 Cash price $93 Hospital's list price $116

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 $69

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 $67 (about 1.4× the $48 Medicare rate). AHMC Seton Medical Center charges insurers about $69, or about $93 in cash — about the fair price. Located in Daly City, 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 $54 - $68 113%
Blue Cross Blue Shieldmajor $67 - $94 140%
Aetnamajor $67 - $78 140%
Cignamajor $75 157%
Humanamajor $67 140%
Kaiser Permanentemajor $68 - $95 142%
Health Net $67 - $89 140%
+ 23 smaller / regional plans $29 - $122
Government programs also on file: Medicare, Military & VA.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1900 Sullivan Avenue, Daly City, CA 94015
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals