CMS Price Transparency Data

Pneumococcal vaccine

Facility: Bon Secours Community Hospital

Billing Code: 90732 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$155
modeled fair price · typically $61–$421
modeled estimate · not a bill or quote
What this hospital charges insurers
$83
Below the fair price — a good deal
about $72 under the fair price
Fair price $155 This hospital $83 Cash price $492 Hospital's list price $492

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $51 Priciest $83

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

⚠ 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 $155. Bon Secours Community Hospital charges insurers about $83, or about $492 in cash — below the fair price — a good deal. Located in Port Jervis, NY.

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 $344 —
Blue Cross Blue Shieldmajor $187 - $246 —
Aetnamajor $221 - $246 —
Cignamajor $344 —
CDPHP $246 —
Geisinger $244 —
MagnaCare $344 - $443 —
Molina $77 —
MVP Health Care $74 - $246 —
+ 7 smaller / regional plans $74 - $394
Government programs also on file: Medicare, Military & VA.
Excludes 5 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: 160 East Main Street, Port Jervis, NY 12771
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals