CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Coast Plaza Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$64
about 1.3× the $48 Medicare rate · typically $59–$72
modeled estimate · not a bill or quote
What this hospital charges insurers
$65
About the fair price
about $1 over the fair price · 1.4× Medicare
Medicare pays $48 Fair price $64 This hospital $65 Cash price $188 Hospital's list price $188

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 $65

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). Coast Plaza Hospital charges insurers about $65, or about $188 in cash — about the fair price. Located in Norwalk, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 $73 - $74 153%
Blue Cross Blue Shieldmajor $59 - $127 123%
Cignamajor $88 184%
Humanamajor $59 123%
Ambetter (Centene) $74 - $91 155%
Bright Health $65 136%
Health Net $59 - $93 123%
Oscar Health $65 136%
+ 10 smaller / regional plans $58 - $150
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 13100 Studerbaker Road, Norwalk, CA 90650
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals