Pneumococcal vaccine
Facility: Saint Joseph Regional Medical Center
Billing Code: 90732 (HCPCS)
This hospital's typical commercial price is $131 compared to the $126 fair price benchmark.
2-Star CMS clinical quality rating paired with 1.04× fair market pricing.
On the higher side — 7 of 8 other IN hospitals charge less.
Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.
A fair price for a Pneumococcal vaccine is about $126. Saint Joseph Regional Medical Center charges insurers about $131, or about $314 in cash — about the fair price. Located in Mishawaka, IN.
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 | $123 - $318 | — |
| Blue Cross Blue Shieldmajor | $123 - $267 | — |
| Aetnamajor | $123 - $362 | — |
| Cignamajor | $123 - $356 | — |
| Humanamajor | $123 - $133 | — |
| Kaiser Permanentemajor | $156 | — |
| Ambetter (Centene) | $123 | — |
| CareSource | $174 - $353 | — |
| Clover Health | $131 | — |
| GEHA | $132 - $220 | — |
| Health Net | $95 - $412 | — |
| HealthPartners | $123 - $356 | — |
| Medical Mutual | $362 | — |
| Meridian | $123 - $228 | — |
| Molina | $123 | — |
| MVP Health Care | $356 | — |
| Paramount | $123 | — |
| Presbyterian | $123 - $131 | — |
| Priority Health | $356 | — |
| Tufts Health Plan | $123 | — |
| WellMed | $131 | — |
| WellSense | $123 | — |
| + 367 smaller / regional plans | $123 - $677 |
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 Joseph Regional Medical Center
Compare: Pneumococcal vaccine at other IN hospitals
- Eskenazi Health · Indianapolis $122
- Elkhart General Hospital · Elkhart $123
- Pulaski Memorial Hospital · Winamac $123
- Woodlawn Hospital · Rochester $123
- Cameron Memorial Community Hospital Inc · Angola $123
- Greene County General Hospital · Linton $123
- Norton-King's Daughters' Health · Madison $128
- Terre Haute Regional Hospital · Terre Haute $132
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Saint Joseph Regional Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $150
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 = $150).
Self-Pay Cash Rate ($314) Beats Your Bill
Saint Joseph Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $314 (vs. $131 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $126 Fair BaseRate ($73 Medicare)
Your bill ($412) is $286 above the denoised Fair BaseRate ($126) and 5.6× the $73 Medicare rate.
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.