CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Pali Momi Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$53
about 1.1× the $48 Medicare rate · typically $35–$65
modeled estimate · not a bill or quote
What this hospital charges insurers
$57
About the fair price
about $4 over the fair price · 1.2× Medicare
Medicare pays $48 Fair price $53 This hospital $57 Cash price $73 Hospital's list price $121

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

Highest price of the 9 HI hospitals we have prices for — worth calling around.

Cheapest $18 Priciest $57

Black dot = this hospital, among the 9 HI hospitals with a price for this procedure. Full list below.

A fair price for a Pneumonia vaccine injection is about $53 (about 1.1× the $48 Medicare rate). Pali Momi Medical Center charges insurers about $57, or about $73 in cash — about the fair price. Located in Aiea, HI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Kaiser Permanente Blue 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
UnitedHealthcaremajor $46 96%
Aetnamajor $103 215%
Kaiser Permanentemajor $97 203%
Devoted Health $57 119%
+ 8 smaller / regional plans $34 - $97
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 98-1079 Moanalua Road, Aiea, HI 96701
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals