CMS Price Transparency Data

Pneumococcal vaccine

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 90732 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$134
modeled fair price · typically $51–$253
modeled estimate · not a bill or quote
What this hospital charges insurers
$133
About the fair price
about $1 under the fair price
Fair price $134 This hospital $133

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

One of the lower prices — 6 of 8 other NH hospitals charge more for the same procedure.

Cheapest $126 Priciest $220

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

A fair price for a Pneumococcal vaccine is about $134. Mary Hitchcock Memorial Hospital charges insurers about $133 — about the fair price. Located in Lebanon, NH.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $114 - $507 —
Blue Cross Blue Shieldmajor $81 - $258 —
Aetnamajor $133 - $194 —
Cignamajor $124 - $259 —
Ambetter (Centene) $140 - $439 —
Harvard Pilgrim $87 - $475 —
MVP Health Care $114 - $133 —
Tufts Health Plan $120 - $141 —
WellCare $139 —
WellSense $137 - $140 —
+ 3 smaller / regional plans $133 - $289

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Facility Profile & Credentials

  • Address: 1 Medical Center Drive, Lebanon, NH 03756
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals