CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Swedish Issaquah

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$82
about 1.7× the $48 Medicare rate · typically $62–$107
modeled estimate · not a bill or quote
What this hospital charges insurers
$99
Above the fair price
about $17 over the fair price · 2.1× Medicare
Medicare pays $48 Fair price $82 This hospital $99 Cash price $57 Hospital's list price $118

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 $99

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 $82 (about 1.7× the $48 Medicare rate). Swedish Issaquah charges insurers about $99, or about $57 in cash — above the fair price. Located in Issaquah, WA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $82. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $57 - $231 119%
Blue Cross Blue Shieldmajor $59 - $127 123%
Aetnamajor $56 - $57 117%
Cignamajor $65 136%
Humanamajor $58 121%
Kaiser Permanentemajor $54 - $82 113%
Amerigroup $60 125%
Providence Health Plan $121 253%
+ 3 smaller / regional plans $87 - $191

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: 751 Ne Blakely Dr, Issaquah, WA 98029
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals