CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Medical City Plano
Billing Code: G0009 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$92
about 1.9× the $48 Medicare rate · typically $49–$206
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $92 Cash price $53 Hospital's list price $53
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 | $9 - $18 | 19% |
| Blue Cross Blue Shieldmajor | $23 - $256 | 48% |
| Aetnamajor | $8 - $64 | 17% |
| Cignamajor | $7 - $39 | 15% |
| Humanamajor | $142 | 297% |
| Fidelis Care | $23 - $47 | 48% |
| Health Net | $36 - $74 | 75% |
| Healthcare Highways | $12 - $36 | 25% |
| Oscar Health | $11 - $22 | 23% |
| UniCare | $51 - $105 | 107% |
| + 15 smaller / regional plans | $13 - $105 |
Government programs also on file: Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Medical City Plano
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.