CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Freestone Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$57
about 1.2× the $48 Medicare rate · typically $31–$117
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $57 Cash price $66 Hospital's list price $94

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.

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 $8 - $44 17%
Blue Cross Blue Shieldmajor $5 - $173 10%
Aetnamajor $32 - $118 67%
Cignamajor $24 - $88 50%
Humanamajor $40 - $148 84%
Amerigroup $11 - $44 23%
+ 16 smaller / regional plans $8 - $148
Government programs also on file: Medicaid.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 125 Newman St, Fairfield, TX 75840
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals