CMS Price Transparency Data

Pneumococcal vaccine

Facility: Medicine Lodge Memorial Hospital

Billing Code: 90732 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$169
modeled fair price · typically $78–$295
modeled estimate · not a bill or quote
What this hospital charges insurers
$115
Below the fair price — a good deal
about $54 under the fair price
Fair price $169 This hospital $115 Cash price $115 Hospital's list price $115

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

One of the lower prices — 7 of 8 other KS hospitals charge more for the same procedure.

Cheapest $95 Priciest $133

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 $169. Medicine Lodge Memorial Hospital charges insurers about $115, or about $115 in cash — below the fair price — a good deal. Located in Medicine Lodge, KS.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $109 —
Aetnamajor $106 - $115 —
Humanamajor $105 —
+ 1 smaller / regional plan $109
Government programs also on file: Medicaid, Military & VA.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 710 N Walnut Street, Medicine Lodge, KS 67104
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals