CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Mercy Hospital Watonga, Inc
Billing Code: G0009 (HCPCS)
The BaseRate · fair price low confidence
A fair price for this
$35
about 0.7× the $48 Medicare rate · typically $9–$145
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $35 Cash price $52 Hospital's list price $80
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 | $16 - $63 | 33% |
| Blue Cross Blue Shieldmajor | $31 - $40 | 65% |
| Aetnamajor | $31 - $61 | 65% |
| Cignamajor | $32 - $68 | 67% |
| Humanamajor | $31 | 65% |
| Ambetter (Centene) | $24 | 50% |
| Healthcare Highways | $60 | 125% |
| HealthLink | $68 | 142% |
| Independent Health | $31 | 65% |
| Medica | $45 | 94% |
| + 31 smaller / regional plans | $24 - $81 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mercy Hospital Watonga, 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.