CMS Price Transparency Data

Pneumococcal vaccine

Facility: Adventist Health Lodi Memorial

Billing Code: 90732 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$179
modeled fair price · typically $35–$227
modeled estimate · not a bill or quote
Fair price $179 Cash price $8 Hospital's list price $119

How we calculate the fair BaseRate →

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✓ Kaiser Permanente Humana

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 $12 - $363 —
Blue Cross Blue Shieldmajor $10 - $227 —
Aetnamajor $19 - $162 —
Cignamajor $42 - $172 —
Kaiser Permanentemajor $19 - $334 —
Health Net $23 - $401 —
+ 8 smaller / regional plans $12 - $401
Government programs also on file: Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals