CMS Price Transparency Data

Pneumococcal vaccine

Facility: Trinity Health Ann Arbor Hospital

Billing Code: 90732 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$166
modeled fair price · typically $60–$217
modeled estimate · not a bill or quote
Fair price $166 Cash price $47 Hospital's list price $73

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 $22 - $66 —
Blue Cross Blue Shieldmajor $29 - $256 —
Aetnamajor $27 - $416 —
Cignamajor $57 —
Humanamajor $56 —
Kaiser Permanentemajor $256 —
AmeriHealth $56 —
CareSource $327 —
Dean Health Plan $56 —
GEHA $53 - $416 —
Health Net $73 —
HealthPartners $56 —
MagnaCare $56 —
Medical Mutual $56 —
Molina $39 —
MVP Health Care $56 —
Paramount $56 —
Priority Health $120 - $133 —
Tufts Health Plan $56 —
UniCare $56 —
+ 137 smaller / regional plans $18 - $327
Government programs also on file: Medicare, Medicaid.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 5301 E Huron River Dr, Ann Arbor, MI 48106
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals