CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Adventist Health White Memorial Montebello

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$61
about 1.3× the $48 Medicare rate · typically $57–$73
modeled estimate · not a bill or quote
What this hospital charges insurers
$59
About the fair price
about $2 under the fair price · 1.2× Medicare
Medicare pays $48 Fair price $61 This hospital $59 Cash price $59 Hospital's list price $231

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 $61 (about 1.3× the $48 Medicare rate). Adventist Health White Memorial Montebello charges insurers about $59, or about $59 in cash — about the fair price. Located in Montebello, CA.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente UnitedHealthcareHumana

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
Blue Cross Blue Shieldmajor $28 - $231 59%
Aetnamajor $59 - $125 123%
Cignamajor $86 180%
Kaiser Permanentemajor $59 - $231 123%
Health Net $59 - $231 123%
Molina $231 483%
Oscar Health $62 130%
+ 13 smaller / regional plans $59 - $231
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: 309 W Beverly Blvd, Montebello, CA 90640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals