CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Forks Community Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$56
about 1.2× the $48 Medicare rate · typically $13–$91
modeled estimate · not a bill or quote
What this hospital charges insurers
$82
Above the fair price
about $26 over the fair price · 1.7× Medicare
Medicare pays $48 Fair price $56 This hospital $82 Cash price $66 Hospital's list price $82

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 $82

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 $56 (about 1.2× the $48 Medicare rate). Forks Community Hospital charges insurers about $82, or about $66 in cash — above the fair price. Located in Forks, 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 $56. 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.

5 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 $36 - $82 75%
Blue Cross Blue Shieldmajor $47 - $78 98%
Aetnamajor $78 163%
Cignamajor $82 171%
Humanamajor $37 77%
Ambetter (Centene) $43 90%
Health Net $37 77%
Molina $75 157%
WellCare $43 90%
+ 3 smaller / regional plans $31 - $82
Government programs also on file: Medicare, Medicaid, Military & VA.

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.

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Facility Profile & Credentials

  • Address: 530 Bogachiel Way, Forks, WA 98331
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals