CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Baylor Scott and White Medical Center Sunnyvale

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$49
about 1.0× the $48 Medicare rate · typically $21–$148
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
Below the fair price — a good deal
about $6 under the fair price · 0.9× Medicare
Medicare pays $48 Fair price $49 This hospital $43 Cash price $137 Hospital's list price $228

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 $43

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Pneumonia vaccine injection is about $49 (about 1.0× the $48 Medicare rate). Baylor Scott and White Medical Center Sunnyvale charges insurers about $43, or about $137 in cash — below the fair price — a good deal. Located in Sunnyvale, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $43 90%

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 231 South Collins Road, Sunnyvale, TX 75182
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals