CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Prosser Memorial Hospital
Billing Code: G0009 (HCPCS)
The BaseRate · fair price low confidence
A fair price for this
$65
about 1.4× the $48 Medicare rate · typically $14–$175
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $65 Cash price $36 Hospital's list price $65
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 | $14 - $52 | 29% |
| Blue Cross Blue Shieldmajor | $52 - $58 | 109% |
| Aetnamajor | $20 - $55 | 42% |
| Cignamajor | $53 | 111% |
| Humanamajor | $16 - $55 | 33% |
| Kaiser Permanentemajor | $14 - $210 | 29% |
| Ambetter (Centene) | $46 - $50 | 96% |
| Amerigroup | $15 - $28 | 31% |
| Molina | $15 - $26 | 31% |
| WellCare | $16 | 33% |
| + 6 smaller / regional plans | $14 - $58 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Prosser Memorial Hospital
Compare: Pneumonia vaccine injection at other WA hospitals
- Cascade Medical Center · Leavenworth $25
- Island Hospital · Anacortes $28
- Snoqualmie Valley Hospital · Snoqualmie $31
- Olympic Medical Center · Port Angeles $39
- St Elizabeth Hospital · Enumclaw $40
- Virginia Mason Medical Center · Seattle $50
- Deaconess Medical Center · Spokane $51
- Multicare Valley Hospital · Spokane Valley $51
Insurance negotiated median for the same procedure, sorted lowest first.