CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Saint Alphonsus Medical Center - Nampa
Billing Code: G0009 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$67
about 1.4× the $48 Medicare rate · typically $40–$88
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $67 Cash price $35 Hospital's list price $54
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 | $49 - $50 | 102% |
| Blue Cross Blue Shieldmajor | $41 - $150 | 86% |
| Aetnamajor | $47 - $51 | 98% |
| Cignamajor | $47 | 98% |
| Humanamajor | $48 | 100% |
| Kaiser Permanentemajor | $70 | 146% |
| Dean Health Plan | $49 | 102% |
| GEHA | $47 - $49 | 98% |
| Health Net | $39 | 82% |
| HealthPartners | $49 | 102% |
| Moda Health | $46 - $98 | 96% |
| Molina | $119 | 249% |
| PacificSource | $32 - $39 | 67% |
| Paramount | $49 | 102% |
| Priority Health | $47 | 98% |
| SelectHealth | $49 - $60 | 102% |
| + 41 smaller / regional plans | $14 - $150 |
Government programs also on file: Medicare, Medicaid.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Saint Alphonsus Medical Center - Nampa
Compare: Pneumonia vaccine injection at other ID hospitals
- Saint Alphonsus Regional Medical Center · Boise $30
- Clearwater Valley Hospital & Clinics · Orofino $38
- St Mary's Hospital · Cottonwood $38
- Bingham Memorial Hospital · Blackfoot $42
- Nell J Redfield Memorial Hospital · Malad City $45
- Madison Memorial Hospital · Rexburg $46
- Mountain View Hospital · Idaho Falls $46
- Kootenai Health · Coeur D'Alene $48
Insurance negotiated median for the same procedure, sorted lowest first.