CMS Price Transparency Data
Pneumonia vaccine injection
Facility: St Anthony Hospital
Billing Code: G0009 (HCPCS)
The BaseRate · fair price low confidence
A fair price for this
$52
about 1.1× the $48 Medicare rate · typically $13–$115
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $52 Cash price $41 Hospital's list price $60
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 | $57 | 119% |
| Blue Cross Blue Shieldmajor | $48 | 100% |
| Aetnamajor | $57 | 119% |
| Cignamajor | $32 - $34 | 67% |
| Health Net | $54 | 113% |
| Moda Health | $20 - $41 | 42% |
| PacificSource | $57 | 119% |
| + 2 smaller / regional plans | $51 - $57 |
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Other Procedures at St Anthony 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.