CMS Price Transparency Data

Pneumococcal vaccine

Facility: CHI Health Plainview Hospital

Billing Code: 90732 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$253
modeled fair price · typically $151–$519
modeled estimate · not a bill or quote
Fair price $253 Cash price $462 Hospital's list price $550

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.

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 $327 - $537 —
Blue Cross Blue Shieldmajor $327 - $537 —
Humanamajor $327 - $345 —
Ambetter (Centene) $333 - $367 —
Amerigroup $343 - $362 —
Medica $327 - $542 —
Molina $362 - $382 —
+ 9 smaller / regional plans $327 - $765
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

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: P O Box 489, 704 North Third St, Plainview, NE 68769
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals