CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Texas Health Harris Methodist Hospital Southlake

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$53
about 1.1× the $48 Medicare rate · typically $42–$133
modeled estimate · not a bill or quote
What this hospital charges insurers
$49
About the fair price
about $4 under the fair price · 1.0× Medicare
Medicare pays $48 Fair price $53 This hospital $49

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 $49

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 $53 (about 1.1× the $48 Medicare rate). Texas Health Harris Methodist Hospital Southlake charges insurers about $49 — about the fair price. Located in Southlake, TX.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $52 - $53 109%
Blue Cross Blue Shieldmajor $47 98%
Humanamajor $49 102%
Amerigroup $49 102%
Cigna HealthSpring $48 100%
Molina $49 102%
WellCare $49 - $52 102%
+ 1 smaller / regional plan $47

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Facility Profile & Credentials

  • Address: 1545 E Southlake Blvd, Southlake, TX 76092
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals