CMS Price Transparency Data

Pneumonia vaccine injection

Facility: UCSF Benioff Children's Hospital Oakland

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$55
about 1.1× the $48 Medicare rate · typically $34–$71
modeled estimate · not a bill or quote
What this hospital charges insurers
$66
Above the fair price
about $11 over the fair price · 1.4× Medicare
Medicare pays $48 Fair price $55 This hospital $66 Cash price $35 Hospital's list price $118

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 $66

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 $55 (about 1.1× the $48 Medicare rate). UCSF Benioff Children's Hospital Oakland charges insurers about $66, or about $35 in cash — above the fair price. Located in Oakland, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $55. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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 $66 138%

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: 747 52Nd Street, Oakland, CA 94609
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens