CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Grace Surgical Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$92
about 1.9× the $48 Medicare rate · typically $60–$104
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $92 Cash price $20 Hospital's list price $41

How we calculate the fair BaseRate →

What each insurance company pays

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

6 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 $56 - $192 117%
Blue Cross Blue Shieldmajor $58 - $142 121%
Aetnamajor $55 115%
Cignamajor $64 134%
Humanamajor $57 119%
Kaiser Permanentemajor $53 - $80 111%
Amerigroup $59 123%
Providence Health Plan $135 282%
+ 3 smaller / regional plans $85 - $191

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2412 50Th St, Lubbock, TX 79412
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals