CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Baylor Scott & White Continuing Care Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$53
about 1.1× the $48 Medicare rate · typically $12–$143
modeled estimate · not a bill or quote
What this hospital charges insurers
$59
About the fair price
about $6 over the fair price · 1.2× Medicare
Medicare pays $48 Fair price $53 This hospital $59 Cash price $46 Hospital's list price $77

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 $59

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). Baylor Scott & White Continuing Care Hospital charges insurers about $59, or about $46 in cash — about the fair price. Located in Temple, TX.

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 $38 79%
Blue Cross Blue Shieldmajor $43 - $52 90%
Aetnamajor $57 119%
Cignamajor $49 - $57 102%
Humanamajor $54 113%
+ 5 smaller / regional plans $42 - $57
Government programs also on file: Medicaid.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 546 N Kegley Rd, Temple, TX 76502
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL