CMS Price Transparency Data

Pneumococcal vaccine

Facility: CHI St Alexius Health Devils Lake

Billing Code: 90732 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$160
modeled fair price · typically $58–$365
modeled estimate · not a bill or quote
Fair price $160 Cash price $172 Hospital's list price $410

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $299 - $340 —
Blue Cross Blue Shieldmajor $126 - $217 —
HealthPartners $389 —
Medica $156 - $377 —
Sanford Health Plan $295 —

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.

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Facility Profile & Credentials

  • Address: 1031 7Th St Ne, Devils Lake, ND 58301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals