CMS Price Transparency Data

Pneumonia vaccine injection

Facility: North Texas Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$46
about 1.0× the $48 Medicare rate · typically $25–$51
modeled estimate · not a bill or quote
What this hospital charges insurers
$48
About the fair price
about $2 over the fair price · 1.0× Medicare
Medicare pays $48 Fair price $46 This hospital $48 Cash price $17 Hospital's list price $66

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $20 Priciest $48

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

A fair price for a Pneumonia vaccine injection is about $46 (about 1.0× the $48 Medicare rate). North Texas Medical Center charges insurers about $48, or about $17 in cash — about the fair price. Located in Gainesville, TX.

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 $45 - $130 94%
Blue Cross Blue Shieldmajor $30 - $71 63%
Aetnamajor $37 - $87 77%
Cignamajor $24 - $56 50%
Humanamajor $45 94%
Healthcare Highways $36 - $85 75%
Molina $45 - $50 94%
WellMed $45 94%
+ 5 smaller / regional plans $45 - $120
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1900 Hospital Blvd, Gainesville, TX 76240
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals