CMS Price Transparency Data

Pneumococcal vaccine

Facility: CHI Memorial Hospital- Georgia

Billing Code: 90732 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$171

modeled fair price · typically $80–$246

modeled estimate · not a bill or quote

What this hospital charges insurers

$105

Below the fair price — a good deal

about $66 under the fair price

Fair price $171 This hospital $105 Cash price $126 Hospital's list price $427

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Lowest price of the 9 GA hospitals we have prices for — a strong deal.

Cheapest $105 Priciest $133

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

A fair price for a Pneumococcal vaccine is about $171. CHI Memorial Hospital- Georgia charges insurers about $105, or about $126 in cash — below the fair price — a good deal. Located in Ringgold, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor	$62 - $133	—
Aetnamajor	$60 - $346	—
Cignamajor	$63 - $148	—
Humanamajor	$63 - $299	—
Ambetter (Centene)	$102	—
Amerigroup	$64 - $81	—
CareSource	$85	—
Health Net	$192	—
WellCare	$85	—
+ 2 smaller / regional plans	$108 - $277

Government programs also on file: Medicaid.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 126), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: 90732.

Insurance Before you use insurance

Call your insurance company to confirm CHI Memorial Hospital- Georgia is in-network.
Ask your insurer whether prior approval is required for HCPCS code 90732.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at CHI Memorial Hospital- Georgia

Compare: Pneumococcal vaccine at other GA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.