CMS Price Transparency Data

Pneumonia vaccine injection

Facility: UNM Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$51
about 1.1× the $48 Medicare rate · typically $45–$53
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $51 Cash price $15 Hospital's list price $26

How we calculate the fair BaseRate →

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✓ Aetna✓ Humana CignaKaiser 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 $18 - $46 38%
Blue Cross Blue Shieldmajor $18 - $46 38%
Aetnamajor $18 - $46 38%
Humanamajor $17 - $42 36%
Devoted Health $22 - $55 46%
Molina $45 - $113 94%
Presbyterian $37 - $92 77%
+ 10 smaller / regional plans $18 - $113

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.

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Facility Profile & Credentials

  • Address: 2211 Lomas Boulevard Ne, Albuquerque, NM 87106
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals