CMS Price Transparency Data
Pneumonia vaccine injection
Facility: University Medical Center
Billing Code: G0009 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: G0009
- Insurance Median: $39
- Cash Discount Price: $67
- vs. Medicare Baseline: 0.82x Medicare
The contracted insurance negotiated median rate for a Pneumonia vaccine injection at University Medical Center is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 0.82x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$67
Average discount available for prompt cash payment at this facility.
Insurance Median
$39
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$47.84
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $47.84 (100%)
Cash / Self-Pay: $67 (140%)
Insurance Median: $39 (82%)
Cash: $67 (140% of Medicare)
Ins. Median: $39 (82% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $47.84 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Cement Masons & Plasters H&W | $13 | 27% |
| Aig | $13 | 27% |
| Beech Street | $13 | 27% |
| Ufcw Local 711 Retail Clerks | $33 | 69% |
| Laborers Health and Welfare | $33 | 69% |
| Southwest Carpenters H&W | $33 | 69% |
| Teamsters Local 986 | $33 | 69% |
| Caesar's Entertainment | $33 - $37 | 69% |
| Operating Engineers | $33 - $34 | 69% |
| So Ca Pipe Trades H&W | $33 | 69% |
| Sheet Metal Workers | $33 | 69% |
| Bricklayers Local 13 | $33 | 69% |
| Electrical Workers | $33 | 69% |
| Blue Cross Blue Shield | $33 - $51 | 69% |
| Teamsters Local 14 | $33 | 69% |
| Teamsters Local 631 | $33 | 69% |
| California Ironwork Field Welfare | $33 | 69% |
| Boyd Group | $33 | 69% |
| Plumbers & Pipefitters Loc 525 | $33 | 69% |
| Mirage Las Vegas | $34 | 71% |
| Teacher's Health Trust | $34 - $44 | 71% |
| P3 Health Partners Nevada | $34 - $51 | 71% |
| Venetian/Palazzo | $34 - $44 | 71% |
| City of North Las Vegas | $34 - $44 | 71% |
| VA Pc3 (VA Choice) | $34 - $51 | 71% |
| Arroweye Solutions | $34 - $44 | 71% |
| Selecthealth | $34 - $75 | 71% |
| Advantra Freedom | $34 - $51 | 71% |
| Wynn Resorts | $34 - $44 | 71% |
| Golden Nugget Hotel & Casino | $34 - $44 | 71% |
| P3 Health Partners | $34 - $44 | 71% |
| City of Henderson | $34 | 71% |
| Rebel Oil Company | $34 - $44 | 71% |
| Dignity Health | $34 - $44 | 71% |
| Pli Las Vegas | $34 - $44 | 71% |
| Las Vegas Sand Corps | $34 - $198 | 71% |
| Healthcare Partners of Nevada | $34 - $51 | 71% |
| Mgm Grand | $34 | 71% |
| Resorts World Las Vegas | $34 - $44 | 71% |
| Clark County EPO | $34 | 71% |
| UnitedHealthcare | $34 - $198 | 71% |
| Allwell | $34 - $51 | 71% |
| Las Vegas Metro Police Dept | $34 | 71% |
| Stations Casinos | $34 - $44 | 71% |
| Molina | $34 - $75 | 71% |
| Sierra Health and Life | $34 - $59 | 71% |
| Truline Corporation | $34 - $44 | 71% |
| Golden Entertainment | $34 - $44 | 71% |
| State of Nevada | $34 - $44 | 71% |
| Marshall Retail Group | $34 - $44 | 71% |
| Clark County Self Funded | $34 | 71% |
| Aetna | $34 - $89 | 71% |
| Alignment Health | $35 - $51 | 73% |
| Scan | $35 - $51 | 73% |
| Mail Handlers Benefit Plan | $37 - $50 | 77% |
| Clark County Firefighters 1908 | $37 | 77% |
| Nevada Energy | $37 | 77% |
| Employee Painters Trust | $37 | 77% |
| Coventry | $37 - $50 | 77% |
| Geha | $37 - $50 | 77% |
| Three Rivers Provider Network | $38 - $50 | 79% |
| First Health | $38 - $50 | 79% |
| Health Net | $38 - $166 | 79% |
| Culinary Workers Hwf | $41 | 86% |
| Prominence Health Plan | $50 - $102 | 105% |
| Nevada Preferred Professionals | $50 - $102 | 105% |
| Hometown Health Plan Nevada | $50 | 105% |
| One Health Plan | $50 | 105% |
| Jw Marriott | $50 - $102 | 105% |
| Ambetter / Centene | $50 - $79 | 105% |
| Universal Health Network (Uhn) | $50 - $102 | 105% |
| Health Direct Partners | $55 - $82 | 115% |
| Laughlin Coalition | $76 | 159% |
| Zuffa | $117 | 245% |
| Surest | $198 | 414% |
| American Postal Workers Health Plan | $198 | 414% |