CMS Price Transparency Data
Pneumonia vaccine injection
Facility: HCA Houston Healthcare Southeast
Billing Code: G0009 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$81
about 1.7× the $48 Medicare rate · typically $51–$183
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $81 Cash price $270 Hospital's list price $270
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 - $126 | 94% |
| Blue Cross Blue Shieldmajor | $79 - $165 | 165% |
| Aetnamajor | $60 - $122 | 125% |
| Cignamajor | $33 - $224 | 69% |
| Humanamajor | $194 | 406% |
| Amerigroup | $31 - $39 | 65% |
| Fidelis Care | $101 - $126 | 211% |
| Healthcare Highways | $57 - $72 | 119% |
| Oscar Health | $44 - $55 | 92% |
| + 14 smaller / regional plans | $29 - $600 |
Government programs also on file: Medicaid.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at HCA Houston Healthcare Southeast
Compare: Pneumonia vaccine injection at other TX hospitals
- Kell West Regional Hospital · Wichita Falls $20
- El Paso Children's Hospital · El Paso $20
- Nacogdoches Memorial Hospital · Nacogdoches $24
- Seymour Hospital · Seymour $25
- Pampa Regional Medical Center · Pampa $29
- University of Texas M. D. Anderson Cancer Center · Houston $30
- El Campo Memorial Hospital · El Campo $30
- The Medical Center of Southeast Texas · Port Arthur $42
Insurance negotiated median for the same procedure, sorted lowest first.