Pneumococcal vaccine
Facility: Saint Alphonsus Regional Medical Center
Billing Code: 90732 (HCPCS)
This hospital's typical commercial price is $116 compared to the $141 fair price benchmark.
3-Star CMS clinical quality rating paired with 0.82× fair market pricing.
One of the lower prices — 5 of 8 other ID hospitals charge more for the same procedure.
Black dot = this hospital, among the 9 ID hospitals with a price for this procedure. Full list below.
A fair price for a Pneumococcal vaccine is about $141. Saint Alphonsus Regional Medical Center charges insurers about $116, or about $91 in cash — below the fair price — a good deal. Located in Boise, ID.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
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 | $47 - $140 | — |
| Blue Cross Blue Shieldmajor | $47 - $200 | — |
| Aetnamajor | $48 - $129 | — |
| Cignamajor | $333 | — |
| Humanamajor | $123 - $140 | — |
| Kaiser Permanentemajor | $116 | — |
| Dean Health Plan | $126 | — |
| GEHA | $126 - $129 | — |
| Health Net | $102 - $126 | — |
| Moda Health | $48 - $126 | — |
| Molina | $112 | — |
| PacificSource | $180 - $207 | — |
| Paramount | $126 | — |
| Priority Health | $333 | — |
| SelectHealth | $83 - $126 | — |
| + 42 smaller / regional plans | $49 - $333 |
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.
Other Procedures at Saint Alphonsus Regional Medical Center
Compare: Pneumococcal vaccine at other ID hospitals
- Northwest Specialty Hospital · Post Falls $105
- West Valley Medical Center · Caldwell $115
- Saint Alphonsus Medical Center - Nampa · Nampa $116
- Teton Valley Hospital · Driggs $120
- Eastern Idaho Regional Medical Center · Idaho Falls $129
- Kootenai Health · Coeur D'Alene $135
- St Luke's Wood River Medical Center · Ketchum $140
- Nell J Redfield Memorial Hospital · Malad City $243
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Saint Alphonsus Regional Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $51
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $51).
Self-Pay Cash Rate ($91) Beats Your Bill
Saint Alphonsus Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $91 (vs. $116 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $141 Fair BaseRate ($82 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($141).
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.