CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Duncan Regional Hospital, Inc
Billing Code: G0009 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$78
about 1.6× the $48 Medicare rate · typically $37–$141
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $78 Hospital's list price $77
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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 | $41 - $56 | 86% |
| Aetnamajor | $51 - $70 | 107% |
| Cignamajor | $54 - $74 | 113% |
| Humanamajor | $47 | 98% |
| Friday Health | $120 | 251% |
| Health Net | $48 - $66 | 100% |
| Healthcare Highways | $26 - $53 | 54% |
| Medica | $25 - $34 | 52% |
| + 2 smaller / regional plans | $54 - $75 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Duncan Regional Hospital, Inc
Compare: Pneumonia vaccine injection at other OK hospitals
- Harper County Community Hospital · Buffalo $21
- Okeene Municipal Hospital · Okeene $26
- Beaver County Memorial Hospital · Beaver $38
- Mercy Hospital Oklahoma City, Inc · Oklahoma City $43
- Alliancehealth Durant · Durant $45
- Integris Southwest Medical Center · Oklahoma City $45
- Oklahoma Heart Hospital, LLC · Oklahoma City $45
- Oklahoma Heart Hospital South, LLC · Oklahoma City $45
Insurance negotiated median for the same procedure, sorted lowest first.