CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Nkc Health

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$48
about 1.0× the $48 Medicare rate · typically $27–$84
modeled estimate · not a bill or quote
What this hospital charges insurers
$48
About the fair price
1.0× Medicare
Medicare pays $48 Fair price $48 This hospital $48 Cash price $94 Hospital's list price $325

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

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

Cheapest $21 Priciest $48

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

A fair price for a Pneumonia vaccine injection is about $48 (about 1.0× the $48 Medicare rate). Nkc Health charges insurers about $48, or about $94 in cash — about the fair price. Located in North Kansas City, MO.

What each insurance company pays

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

5 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 $47 - $123 98%
Blue Cross Blue Shieldmajor $195 - $249 408%
Aetnamajor $165 - $266 345%
Cignamajor $153 320%
Humanamajor $48 100%
Oscar Health $121 253%
+ 5 smaller / regional plans $48 - $211
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: 2800 Clay Edwards Drive, North Kansas City, MO 64116
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals