CMS Price Transparency Data
Pneumonia vaccine injection
Facility: HCA Houston Healthcare Clear Lake
Billing Code: G0009 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$79
about 1.6× the $48 Medicare rate · typically $51–$180
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $79 Cash price $64 Hospital's list price $64
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 | $12 - $45 | 25% |
| Blue Cross Blue Shieldmajor | $9 - $155 | 19% |
| Aetnamajor | $7 - $44 | 15% |
| Cignamajor | $5 - $81 | 10% |
| Humanamajor | $194 | 406% |
| Amerigroup | $14 | 29% |
| Fidelis Care | $12 - $45 | 25% |
| Healthcare Highways | $7 - $26 | 15% |
| Oscar Health | $5 - $20 | 10% |
| + 15 smaller / regional plans | $6 - $600 |
Government programs also on file: Medicaid.
Excludes 7 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 Clear Lake
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.