CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Memorial Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$62
about 1.3× the $48 Medicare rate · typically $16–$129
modeled estimate · not a bill or quote
What this hospital charges insurers
$92
Above the fair price
about $30 over the fair price · 1.9× Medicare
Medicare pays $48 Fair price $62 This hospital $92 Cash price $69 Hospital's list price $99

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 $92

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). Memorial Medical Center charges insurers about $92, or about $69 in cash — above the fair price. Located in Port Lavaca, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $62. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 - $79 59%
Blue Cross Blue Shieldmajor $86 - $98 180%
Aetnamajor $28 - $79 59%
Cignamajor $74 155%
Humanamajor $79 165%
Ambetter (Centene) $33 69%
Amerigroup $28 - $48 59%
Health Net $79 165%
Healthcare Highways $79 165%
Molina $48 100%
+ 13 smaller / regional plans $28 - $84
Government programs also on file: Military & VA.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals