CMS Price Transparency Data

Pneumococcal vaccine

Facility: North Carolina Baptist Hospital

Billing Code: 90732 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$165

modeled fair price · typically $118–$247

modeled estimate · not a bill or quote

What this hospital charges insurers

$133

Below the fair price — a good deal

about $32 under the fair price

Fair price $165 This hospital $133 Cash price $272 Hospital's list price $543

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

A typical price — 3 charge more and 5 charge less, among the 9 NC hospitals compared.

Cheapest $126 Priciest $140

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

A fair price for a Pneumococcal vaccine is about $165. North Carolina Baptist Hospital charges insurers about $133, or about $272 in cash — below the fair price — a good deal. Located in Winston-Salem, NC.

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	$115 - $247	—
Blue Cross Blue Shieldmajor	$111 - $286	—
Aetnamajor	$122 - $690	—
Cignamajor	$97 - $487	—
Humanamajor	$135 - $444	—
Ambetter (Centene)	$139 - $219	—
AmeriHealth	$116 - $219	—
Devoted Health	$133	—
Oscar Health	$154 - $292	—
WellCare	$118 - $186	—
+ 13 smaller / regional plans	$116 - $650

Government programs also on file: Medicare.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 272), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: 90732.

Insurance Before you use insurance

Call your insurance company to confirm North Carolina Baptist Hospital is in-network.
Ask your insurer whether prior approval is required for HCPCS code 90732.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at North Carolina Baptist Hospital

Compare: Pneumococcal vaccine at other NC hospitals

Insurance negotiated median for the same procedure, sorted lowest first.