CMS Price Transparency Data
Pneumonia vaccine injection
Facility: St David's Medical Center
Billing Code: G0009 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$122
about 2.5× the $48 Medicare rate · typically $45–$199
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $122 Cash price $70 Hospital's list price $70
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 | $15 - $33 | 31% |
| Blue Cross Blue Shieldmajor | $20 - $276 | 42% |
| Aetnamajor | $22 - $41 | 46% |
| Cignamajor | $20 - $30 | 42% |
| Amerigroup | $8 | 17% |
| Health Net | $40 - $48 | 84% |
| Healthcare Highways | $18 - $22 | 38% |
| Moda Health | $15 - $27 | 31% |
| Oscar Health | $12 - $16 | 25% |
| + 19 smaller / regional plans | $18 - $67 |
Government programs also on file: Medicaid.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at St David's Medical Center
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.