Pneumococcal vaccine
Facility: Merit Health Natchez
Billing Code: 90732 (HCPCS)
This hospital's typical commercial price is $173 compared to the $131 fair price benchmark.
2-Star CMS clinical quality rating paired with 1.32× fair market pricing.
Highest price of the 9 MS hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 MS hospitals with a price for this procedure. Full list below.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Pneumococcal vaccine is about $131. Merit Health Natchez charges insurers about $173, or about $722 in cash — above the fair price. Located in Natchez, MS.
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 $131. 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.
5 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 - $367 | — |
| Blue Cross Blue Shieldmajor | $510 | — |
| Aetnamajor | $170 - $1,358 | — |
| Cignamajor | $433 | — |
| Humanamajor | $367 | — |
| CareSource | $136 | — |
| Devoted Health | $168 | — |
| Molina | $144 - $295 | — |
| WellCare | $172 | — |
| + 17 smaller / regional plans | $120 - $2,408 |
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 Merit Health Natchez
Compare: Pneumococcal vaccine at other MS hospitals
- Crossgates River Oaks Hospital · Brandon $48
- Merit Health Central · Jackson $49
- Tippah County Hospital · Ripley $52
- Winston Medical Center · Louisville $114
- Tyler Holmes Memorial Hospital Cah · Winona $114
- Neshoba County General Hospital · Philadelphia $114
- Methodist Healthcare - Olive Branch Hospital · Olive Branch $120
- Tallahatchie General Hospital-Cah · Charleston $120
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Merit Health Natchez (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $874
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 = $874).
Self-Pay Cash Rate ($722) Beats Your Bill
Merit Health Natchez's published 45 CFR § 180 self-pay cash rate is $722 (vs. $173 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $131 Fair BaseRate ($76 Medicare)
Your bill ($2,408) is $2,277 above the denoised Fair BaseRate ($131) and 31.7× the $76 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.