CMS Price Transparency Data

Pneumonia vaccine injection

Facility: El Paso Children's Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$43
about 0.9× the $48 Medicare rate · typically $12–$95
modeled estimate · not a bill or quote
What this hospital charges insurers
$20
Below the fair price — a good deal
about $23 under the fair price · 0.4× Medicare
Medicare pays $48 Fair price $43 This hospital $20 Cash price $16 Hospital's list price $79

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Lowest price of the 9 TX hospitals we have prices for — a strong deal.

Cheapest $20 Priciest $42

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 $43 (about 0.9× the $48 Medicare rate). El Paso Children's Hospital charges insurers about $20, or about $16 in cash — below the fair price — a good deal. Located in El Paso, TX.

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 $38 - $75 79%
Blue Cross Blue Shieldmajor $20 - $79 42%
Aetnamajor $38 - $84 79%
Cignamajor $42 - $82 88%
Health Net $19 40%
Molina $67 140%
+ 3 smaller / regional plans $10 - $56
Excludes 3 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: 4845 Alameda Avenue, El Paso, TX 79905
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens