CMS Price Transparency Data

Pneumococcal vaccine

Facility: Saint Joseph Regional Medical Center

Billing Code: 90732 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$129
modeled fair price · typically $37–$189
modeled estimate · not a bill or quote
What this hospital charges insurers
$131
About the fair price
about $2 over the fair price
Fair price $129 This hospital $131 Cash price $314 Hospital's list price $412

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

On the higher side — 7 of 8 other IN hospitals charge less.

Cheapest $122 Priciest $132

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 $129. 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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
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
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 5215 Holy Cross Pkwy, Mishawaka, IN 46545
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals