CMS Price Transparency Data

Pneumococcal vaccine

Facility: Virginia Gay Hospital

Billing Code: 90732 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$132

modeled fair price · typically $74–$169

modeled estimate · not a bill or quote

What this hospital charges insurers

$107

Below the fair price — a good deal

about $25 under the fair price

Fair price $132 This hospital $107 Cash price $204 Hospital's list price $255

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Highest price of the 9 IA hospitals we have prices for — worth calling around.

Cheapest $57 Priciest $107

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

A fair price for a Pneumococcal vaccine is about $132. Virginia Gay Hospital charges insurers about $107, or about $204 in cash — below the fair price — a good deal. Located in Vinton, IA.

What each insurance company pays

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

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

✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaCignaKaiser 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
Humanamajor	$70	—
+ 2 smaller / regional plans	$128 - $191

Government programs also on file: Medicaid.

Excludes 2 rental-network / third-party entries (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 204), 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 Virginia Gay Hospital 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 Virginia Gay Hospital

Compare: Pneumococcal vaccine at other IA hospitals

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