Pneumococcal vaccine
Facility: Northern Light Mayo Hospital
Billing Code: 90732 (HCPCS)
This hospital's typical commercial price is $135 compared to the $103 fair price benchmark.
2-Star CMS clinical quality rating paired with 1.31× fair market pricing.
One of the lower prices — 5 of 8 other ME hospitals charge more for the same procedure.
Black dot = this hospital, among the 9 ME hospitals with a price for this procedure. Full list below.
A fair price for a Pneumococcal vaccine is about $103. Northern Light Mayo Hospital charges insurers about $135 — above the fair price. Located in Dover Foxcroft, ME.
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 $103. 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.
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 | $133 | — |
| Blue Cross Blue Shieldmajor | $120 - $166 | — |
| Aetnamajor | $133 - $234 | — |
| Cignamajor | $131 | — |
| WellCare | $136 | — |
| + 3 smaller / regional plans | $136 - $237 |
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 Northern Light Mayo Hospital
Compare: Pneumococcal vaccine at other ME hospitals
- Northern Maine Medical Center · Fort Kent $75
- Northern Light Maine Coast Hospital · Ellsworth $133
- Northern Light Acadia Hospital · Bangor $135
- Northern Light Mercy Hospital · Portland $136
- Northern Light A R Gould Hospital · Presque Isle $136
- Mainehealth Mid Coast Hospital · Brunswick $136
- Northern Light Eastern Maine Medical Center · Bangor $136
- Northern Light Blue Hill Memorial Hospital · Blue Hill $136
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Northern Light Mayo Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $118
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 = $118).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Northern Light Mayo Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $103 Fair BaseRate ($60 Medicare)
Your bill ($324) is $221 above the denoised Fair BaseRate ($103) and 5.4× the $60 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.