CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Providence St Mary Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$62
about 1.3× the $48 Medicare rate · typically $45–$144
modeled estimate · not a bill or quote
What this hospital charges insurers
$68
About the fair price
about $6 over the fair price · 1.4× Medicare
Medicare pays $48 Fair price $62 This hospital $68

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 $68

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). Providence St Mary Medical Center charges insurers about $68 — about the fair price. Located in Apple Valley, CA.

What each insurance company pays

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

2 of 6 major insurers have a published price at this hospital

✓ Aetna✓ Kaiser Permanente UnitedHealthcareBlue Cross Blue ShieldCignaHumana

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
Aetnamajor $60 125%
Kaiser Permanentemajor $153 320%
+ 1 smaller / regional plan $64 - $72

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Facility Profile & Credentials

  • Address: 18300 Highway 18, Apple Valley, CA 92307
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals