CMS Price Transparency Data

Pneumococcal vaccine

Facility: Merit Health Madison

Billing Code: 90732 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$138
modeled fair price · typically $67–$205
modeled estimate · not a bill or quote
What this hospital charges insurers
$138
About the fair price
Fair price $138 This hospital $138 Cash price $108 Hospital's list price $421

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

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

Cheapest $48 Priciest $138

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

A fair price for a Pneumococcal vaccine is about $138. Merit Health Madison charges insurers about $138, or about $108 in cash — about the fair price. Located in Canton, MS.

What each insurance company pays

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

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $120 - $141 —
Blue Cross Blue Shieldmajor $27 - $96 —
Humanamajor $50 - $175 —
Ambetter (Centene) $66 - $232 —
Devoted Health $50 - $177 —
Molina $48 - $294 —
WellCare $49 - $174 —
+ 6 smaller / regional plans $26 - $337
Government programs also on file: Medicare.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 161 River Oaks Drive, Canton, MS 39046
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals