CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Methodist Hospital Stone Oak
Billing Code: G0009 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$83
about 1.7× the $48 Medicare rate · typically $47–$178
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $83 Cash price $132 Hospital's list price $132
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 | $32 - $60 | 67% |
| Blue Cross Blue Shieldmajor | $39 - $327 | 82% |
| Aetnamajor | $35 - $66 | 73% |
| Cignamajor | $38 - $51 | 79% |
| Amerigroup | $18 - $19 | 38% |
| Fidelis Care | $59 - $60 | 123% |
| Health Net | $86 | 180% |
| Healthcare Highways | $41 | 86% |
| Oscar Health | $26 - $27 | 54% |
| + 17 smaller / regional plans | $25 - $113 |
Government programs also on file: Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Methodist Hospital Stone Oak
Compare: Pneumonia vaccine injection at other TX hospitals
- Kell West Regional Hospital · Wichita Falls $20
- El Paso Children's Hospital · El Paso $20
- Nacogdoches Memorial Hospital · Nacogdoches $24
- Seymour Hospital · Seymour $25
- Pampa Regional Medical Center · Pampa $29
- University of Texas M. D. Anderson Cancer Center · Houston $30
- El Campo Memorial Hospital · El Campo $30
- The Medical Center of Southeast Texas · Port Arthur $42
Insurance negotiated median for the same procedure, sorted lowest first.