CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Skagit Valley Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$59
about 1.2× the $48 Medicare rate · typically $25–$68
modeled estimate · not a bill or quote
What this hospital charges insurers
$62
About the fair price
about $3 over the fair price · 1.3× Medicare
Medicare pays $48 Fair price $59 This hospital $62 Cash price $55 Hospital's list price $69

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

Highest price of the 9 WA hospitals we have prices for — worth calling around.

Cheapest $25 Priciest $62

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

A fair price for a Pneumonia vaccine injection is about $59 (about 1.2× the $48 Medicare rate). Skagit Valley Hospital charges insurers about $62, or about $55 in cash — about the fair price. Located in Mount Vernon, WA.

What each insurance company pays

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

6 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 $48 - $180 100%
Blue Cross Blue Shieldmajor $48 - $215 100%
Aetnamajor $62 130%
Cignamajor $55 115%
Humanamajor $48 - $66 100%
Kaiser Permanentemajor $46 - $132 96%
+ 3 smaller / regional plans $50 - $74
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1415 Kincaid Street, Mount Vernon, WA 98274
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals