CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Medical City Arlington

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$91
about 1.9× the $48 Medicare rate · typically $48–$211
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $91 Cash price $148 Hospital's list price $148

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 $28 59%
Blue Cross Blue Shieldmajor $66 - $256 138%
Aetnamajor $20 - $108 42%
Cignamajor $20 - $55 42%
Humanamajor $142 297%
Fidelis Care $67 140%
Health Net $104 217%
Healthcare Highways $36 - $50 75%
Oscar Health $31 65%
UniCare $28 - $148 59%
+ 14 smaller / regional plans $38 - $148
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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Facility Profile & Credentials

  • Address: 3301 Matlock Road, Arlington, TX 76015
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals