CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Texas Health Presbyterian Hospital Rockwall

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$51
about 1.1× the $48 Medicare rate · typically $48–$75
modeled estimate · not a bill or quote
What this hospital charges insurers
$49
About the fair price
about $2 under the fair price · 1.0× Medicare
Medicare pays $48 Fair price $51 This hospital $49 Cash price $114 Hospital's list price $190

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 $51 (about 1.1× the $48 Medicare rate). Texas Health Presbyterian Hospital Rockwall charges insurers about $49, or about $114 in cash — about the fair price. Located in Rockwall, 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 $18 - $53 38%
Blue Cross Blue Shieldmajor $18 - $394 38%
Aetnamajor $78 - $133 163%
Cignamajor $105 - $178 219%
Humanamajor $49 102%
Amerigroup $18 - $49 38%
Cigna HealthSpring $48 100%
Molina $20 - $49 42%
WellCare $19 - $52 40%
+ 6 smaller / regional plans $18 - $167
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3150 Horizon Road, Rockwall, TX 75032
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals