CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Houston Methodist Clear Lake Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$62
about 1.3× the $48 Medicare rate · typically $51–$109
modeled estimate · not a bill or quote
What this hospital charges insurers
$51
Below the fair price — a good deal
about $11 under the fair price · 1.1× Medicare
Medicare pays $48 Fair price $62 This hospital $51

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $20 Priciest $51

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Pneumonia vaccine injection is about $62 (about 1.3× the $48 Medicare rate). Houston Methodist Clear Lake Hospital charges insurers about $51 — below the fair price — a good deal. Located in Nassau Bay, TX.

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 $48 - $92 100%
Blue Cross Blue Shieldmajor $47 - $150 98%
Aetnamajor $48 100%
Cignamajor $48 100%
Molina $49 - $94 102%
+ 2 smaller / regional plans $50 - $77

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Facility Profile & Credentials

  • Address: 18300 St John Drive, Nassau Bay, TX 77058
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals