CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Baylor Scott & White Texas Spine & Joint Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$81
about 1.7× the $48 Medicare rate · typically $38–$145
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
Below the fair price — a good deal
about $38 under the fair price · 0.9× Medicare
Medicare pays $48 Fair price $81 This hospital $43 Cash price $31 Hospital's list price $52

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 $43

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 $81 (about 1.7× the $48 Medicare rate). Baylor Scott & White Texas Spine & Joint Hospital charges insurers about $43, or about $31 in cash — below the fair price — a good deal. Located in Tyler, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $43 90%
Blue Cross Blue Shieldmajor $43 90%
+ 1 smaller / regional plan $43

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Facility Profile & Credentials

  • Address: 1814 Roseland Boulevard, Tyler, TX 75701
  • CMS Rating: ★★★★★
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals