CMS Price Transparency Data

Pneumococcal vaccine

Facility: Saint Joseph Hospital

Billing Code: 90732 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$129
modeled fair price · typically $75–$305
modeled estimate · not a bill or quote
What this hospital charges insurers
$72
Below the fair price — a good deal
about $57 under the fair price
Fair price $129 This hospital $72 Cash price $125 Hospital's list price $262

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

One of the lower prices — 6 of 8 other KY hospitals charge more for the same procedure.

Cheapest $59 Priciest $119

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

A fair price for a Pneumococcal vaccine is about $129. Saint Joseph Hospital charges insurers about $72, or about $125 in cash — below the fair price — a good deal. Located in Lexington, KY.

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

✓ 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 $16 - $400 —
Blue Cross Blue Shieldmajor $15 - $269 —
Aetnamajor $16 - $337 —
Cignamajor $53 - $329 —
Humanamajor $15 - $265 —
CareSource $31 - $248 —
Molina $16 - $130 —
WellCare $15 - $124 —
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: One Saint Joseph Drive, Lexington, KY 40504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals