Pneumococcal vaccine
Facility: Miami County Medical Center
Billing Code: 90732 (HCPCS)
This hospital's typical commercial price is $133 compared to the $110 fair price benchmark.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
A typical price — 0 charge more and 5 charge less, among the 9 KS hospitals compared.
Black dot = this hospital, among the 9 KS hospitals with a price for this procedure. Full list below.
A fair price for a Pneumococcal vaccine is about $110. Miami County Medical Center charges insurers about $133, or about $211 in cash — above the fair price. Located in Paola, KS.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $110. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 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 | $100 - $1,054 | — |
| Blue Cross Blue Shieldmajor | $100 - $1,054 | — |
| Aetnamajor | $113 - $1,054 | — |
| Cignamajor | $131 - $1,054 | — |
| Humanamajor | $133 - $1,054 | — |
| Bright Health | $1,054 | — |
| Devoted Health | $133 - $136 | — |
| GEHA | $132 - $1,054 | — |
| Health Net | $1,054 | — |
| HealthLink | $147 - $755 | — |
| HealthPartners | $1,054 | — |
| Medica | $132 - $1,054 | — |
| Oscar Health | $141 - $1,054 | — |
| Sanford Health Plan | $948 | — |
| WellCare | $1,054 | — |
| + 162 smaller / regional plans | $100 - $1,054 |
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 Miami County Medical Center
Compare: Pneumococcal vaccine at other KS hospitals
- Southwest Medical Center · Liberal $95
- Greeley County Health Services · Tribune $95
- University of Ks Hlth System Great Bend Campus · Great Bend $129
- St. Catherine Hospital - Garden City · Garden City $131
- Centura St. Catherine-Dodge City · Dodge City $131
- Mercy Hospital Pittsburg, Inc · Pittsburg $133
- Overland Park Reg Med Ctr · Overland Park $133
- Menorah Medical Center · Overland Park $133
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Miami County Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $383
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 = $383).
Self-Pay Cash Rate ($211) Beats Your Bill
Miami County Medical Center's published 45 CFR § 180 self-pay cash rate is $211 (vs. $133 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $110 Fair BaseRate ($64 Medicare)
Your bill ($1,054) is $944 above the denoised Fair BaseRate ($110) and 16.5× the $64 Medicare rate.
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.