CMS Price Transparency Data

Pneumococcal vaccine

Facility: Bob Wilson Memorial Hospital

Billing Code: 90732 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$168
modeled fair price · typically $83–$277
modeled estimate · not a bill or quote
What this hospital charges insurers
$159
About the fair price
about $9 under the fair price
Fair price $168 This hospital $159 Cash price $281 Hospital's list price $702

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

Highest price of the 9 KS hospitals we have prices for — worth calling around.

Cheapest $95 Priciest $159

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 $168. Bob Wilson Memorial Hospital charges insurers about $159, or about $281 in cash — about the fair price. Located in Ulysses, KS.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $225 - $586 —
Blue Cross Blue Shieldmajor $159 —
Aetnamajor $225 - $562 —
Humanamajor $225 —
HealthPartners $660 —
+ 3 smaller / regional plans $225 - $667
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 415 N Main Street, Ulysses, KS 67880
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals