CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Virginia Mason Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$77
about 1.6× the $48 Medicare rate · typically $51–$104
modeled estimate · not a bill or quote
What this hospital charges insurers
$50
Below the fair price — a good deal
about $27 under the fair price · 1.0× Medicare
Medicare pays $48 Fair price $77 This hospital $50 Cash price $53 Hospital's list price $104

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

A typical price — 3 charge more and 5 charge less, among the 9 WA hospitals compared.

Cheapest $25 Priciest $56

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 $77 (about 1.6× the $48 Medicare rate). Virginia Mason Medical Center charges insurers about $50, or about $53 in cash — below the fair price — a good deal. Located in Seattle, 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 $34 - $170 71%
Blue Cross Blue Shieldmajor $37 - $162 77%
Aetnamajor $45 - $829 94%
Cignamajor $27 - $170 56%
Humanamajor $38 - $50 79%
Kaiser Permanentemajor $38 - $126 79%
+ 3 smaller / regional plans $37 - $335
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: 925 Seneca St, Seattle, WA 98101
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals