CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Bay Area Hospital
Billing Code: G0009 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$64
about 1.3× the $48 Medicare rate · typically $45–$69
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $64 Cash price $62 Hospital's list price $82
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 | $78 | 163% |
| Blue Cross Blue Shieldmajor | $294 | 615% |
| Aetnamajor | $75 | 157% |
| Cignamajor | $75 | 157% |
| Health Net | $56 - $78 | 117% |
| Moda Health | $61 - $151 | 128% |
| PacificSource | $70 | 146% |
| + 5 smaller / regional plans | $46 - $215 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Bay Area Hospital
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.