CMS Price Transparency Data

Pneumonia vaccine injection

Facility: TMC- Bonham Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$58
about 1.2× the $48 Medicare rate · typically $12–$169
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $58 Cash price $55 Hospital's list price $182

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.

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 $67 - $73 140%
Blue Cross Blue Shieldmajor $98 - $107 205%
Aetnamajor $109 - $129 228%
Cignamajor $73 - $80 153%
+ 1 smaller / regional plan $203 - $223
Excludes 1 rental-network / third-party entry (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: 504 Lipscomb Street, Bonham, TX 75418
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals