CMS Price Transparency Data

Pneumococcal vaccine

Facility: Mercy Hospital Carthage

Billing Code: 90732 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$197
modeled fair price · typically $86–$197
modeled estimate · not a bill or quote
What this hospital charges insurers
$195
About the fair price
about $2 under the fair price
Fair price $197 This hospital $195 Cash price $495 Hospital's list price $761

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

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

Cheapest $115 Priciest $195

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

A fair price for a Pneumococcal vaccine is about $197. Mercy Hospital Carthage charges insurers about $195, or about $495 in cash — about the fair price. Located in Carthage, MO.

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 $152 - $685 —
Blue Cross Blue Shieldmajor $133 - $411 —
Aetnamajor $125 - $677 —
Cignamajor $209 - $685 —
Humanamajor $125 - $228 —
Ambetter (Centene) $418 —
HealthLink $495 - $708 —
Medica $659 —
+ 36 smaller / regional plans $209 - $685
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3125 Dr Russell Smith Way, Carthage, MO 64836
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals