Pneumococcal vaccine
Facility: Saint Joseph Regional Medical Center - Plymouth
Billing Code: 90732 (HCPCS)
This hospital's typical commercial price is $220 compared to the $206 fair price benchmark.
4-Star CMS clinical quality rating paired with 1.07× fair market pricing.
Highest price of the 9 IN hospitals we have prices for — worth calling around.
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 $206. Saint Joseph Regional Medical Center - Plymouth charges insurers about $220, or about $362 in cash — about the fair price. Located in Plymouth, IN.
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
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 | $111 - $318 | — |
| Blue Cross Blue Shieldmajor | $109 - $267 | — |
| Aetnamajor | $109 - $362 | — |
| Cignamajor | $400 | — |
| AvMed | $501 | — |
| CareSource | $111 | — |
| Dean Health Plan | $501 | — |
| GEHA | $220 | — |
| Health Net | $400 - $428 | — |
| HealthPartners | $400 | — |
| Medical Mutual | $362 | — |
| Meridian | $111 | — |
| MVP Health Care | $400 | — |
| Paramount | $501 | — |
| Priority Health | $400 | — |
| + 53 smaller / regional plans | $111 - $556 |
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 - Plymouth
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
- Saint Joseph Regional Medical Center · Mishawaka $131
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Saint Joseph Regional Medical Center - Plymouth (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $202
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 = $202).
Self-Pay Cash Rate ($362) Beats Your Bill
Saint Joseph Regional Medical Center - Plymouth's published 45 CFR § 180 self-pay cash rate is $362 (vs. $220 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $206 Fair BaseRate ($119 Medicare)
Your bill ($556) is $350 above the denoised Fair BaseRate ($206) and 4.7× the $119 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.