CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Legacy Mount Hood Medical Center
Billing Code: G0009 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$55
about 1.1× the $48 Medicare rate · typically $55–$71
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $55 Cash price $22 Hospital's list price $34
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente UnitedHealthcareCignaHumana
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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $107 - $157 | 224% |
| Aetnamajor | $55 | 115% |
| Kaiser Permanentemajor | $52 - $104 | 109% |
| Health Net | $55 | 115% |
| Moda Health | $58 - $201 | 121% |
| + 3 smaller / regional plans | $54 - $57 |
Self-Pay How to get the cash price
Insurance Before you use insurance
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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
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Other Procedures at Legacy Mount Hood Medical Center
Compare: Pneumonia vaccine injection at other OR hospitals
- Peacehealth Cottage Grove Community Medical Center · Cottage Grove $35
- Saint Alphonsus Medical Center Ontario · Ontario $42
- Sky Lakes Medical Center · Klamath Falls $51
- McKenzie-Willamette Medical Center · Springfield $52
- Santiam Hospital & Clinics · Stayton $53
- Hillsboro Medical Center · Hillsboro $54
- OHSU Hospital and Clinics · Portland $56
- Providence Newberg Medical Center · Newberg $56
Insurance negotiated median for the same procedure, sorted lowest first.