CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Providence Portland Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$52
about 1.1× the $48 Medicare rate · typically $52–$70
modeled estimate · not a bill or quote
What this hospital charges insurers
$57
About the fair price
about $5 over the fair price · 1.2× Medicare
Medicare pays $48 Fair price $52 This hospital $57

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Highest price of the 9 OR hospitals we have prices for — worth calling around.

Cheapest $35 Priciest $57

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

A fair price for a Pneumonia vaccine injection is about $52 (about 1.1× the $48 Medicare rate). Providence Portland Medical Center charges insurers about $57 — about the fair price. Located in Portland, OR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $56 117%
Blue Cross Blue Shieldmajor $165 345%
Moda Health $104 - $284 217%
Molina $56 - $95 117%
Providence Health Plan $51 107%
+ 2 smaller / regional plans $52 - $57

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Facility Profile & Credentials

  • Address: 4805 Ne Glisan Street, Portland, OR 97213
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals