CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Carlsbad Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$51
about 1.1× the $48 Medicare rate · typically $47–$62
modeled estimate · not a bill or quote
What this hospital charges insurers
$51
About the fair price
1.1× Medicare
Medicare pays $48 Fair price $51 This hospital $51 Cash price $28 Hospital's list price $193

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

A typical price — 3 charge more and 4 charge less, among the 8 NM hospitals compared.

Cheapest $33 Priciest $79

Black dot = this hospital, among the 8 NM hospitals with a price for this procedure. Full list below.

A fair price for a Pneumonia vaccine injection is about $51 (about 1.1× the $48 Medicare rate). Carlsbad Medical Center charges insurers about $51, or about $28 in cash — about the fair price. Located in Carlsbad, NM.

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✓ Cigna HumanaKaiser 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 $34 - $138 71%
Blue Cross Blue Shieldmajor $31 - $188 65%
Aetnamajor $150 - $175 314%
Cignamajor $123 - $174 257%
Devoted Health $51 107%
Molina $49 - $136 102%
Presbyterian $49 - $150 102%
+ 9 smaller / regional plans $51 - $199
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2430 West Pierce Street, Carlsbad, NM 88220
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals