CMS Price Transparency Data

Pneumococcal vaccine

Facility: Mercy Health Saint Mary's

Billing Code: 90732 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$129
modeled fair price · typically $75–$174
modeled estimate · not a bill or quote
Fair price $129 Cash price $57 Hospital's list price $88

How we calculate the fair BaseRate →

What each insurance company pays

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

6 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 $34 - $88 —
Blue Cross Blue Shieldmajor $30 - $256 —
Aetnamajor $30 - $416 —
Cignamajor $64 —
Humanamajor $67 - $88 —
Kaiser Permanentemajor $256 —
AmeriHealth $67 —
CareSource $57 —
Dean Health Plan $64 —
GEHA $67 - $416 —
Medical Mutual $416 —
Molina $40 —
MVP Health Care $64 —
Oscar Health $114 —
Paramount $64 —
Priority Health $133 —
UniCare $67 —
+ 143 smaller / regional plans $22 - $416
Government programs also on file: Medicare, Medicaid.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 200 Jefferson Avenue Se, Grand Rapids, MI 49503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals