CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Cascade Valley Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$76
about 1.6× the $48 Medicare rate · typically $52–$120
modeled estimate · not a bill or quote
What this hospital charges insurers
$74
About the fair price
about $2 under the fair price · 1.5× Medicare
Medicare pays $48 Fair price $76 This hospital $74 Cash price $62 Hospital's list price $78

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 $74

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 $76 (about 1.6× the $48 Medicare rate). Cascade Valley Hospital charges insurers about $74, or about $62 in cash — about the fair price. Located in Arlington, 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 $750 - $752 1568%
Blue Cross Blue Shieldmajor $48 - $180 100%
Aetnamajor $58 121%
Cignamajor $57 119%
Humanamajor $7 - $48 15%
Kaiser Permanentemajor $96 201%
Amerigroup $53 111%
Molina $50 105%
+ 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: 330 S Stillaguamish Ave, Arlington, WA 98223
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals