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
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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Other Procedures at Grace Surgical Hospital
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.