CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Baylor Scott and White Medical Center McKinney

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$49
about 1.0× the $48 Medicare rate · typically $49–$63
modeled estimate · not a bill or quote
What this hospital charges insurers
$50
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $48 Fair price $49 This hospital $50 Cash price $43 Hospital's list price $71

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 $50

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 $49 (about 1.0× the $48 Medicare rate). Baylor Scott and White Medical Center McKinney charges insurers about $50, or about $43 in cash — about the fair price. Located in Mc Kinney, 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 $44 - $50 92%
Blue Cross Blue Shieldmajor $46 - $294 96%
Aetnamajor $39 - $43 82%
Cignamajor $35 - $41 73%
Humanamajor $43 - $50 90%
Ambetter (Centene) $90 188%
Baylor Scott & White $35 - $72 73%
Cigna HealthSpring $46 96%
Health Net $39 82%
+ 6 smaller / regional plans $39 - $53
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.

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: 5252 West University Drive, Mc Kinney, TX 75071
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals