CMS Price Transparency Data
Pneumococcal vaccine
Facility: Good Samaritan Hospital of Suffern
Billing Code: 90732 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$135
modeled fair price · typically $57–$248
modeled estimate · not a bill or quote
Fair price $135 Cash price $492 Hospital's list price $492
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 | $24 | — |
| MagnaCare | $344 - $443 | — |
| Molina | $8 | — |
| MVP Health Care | $7 - $246 | — |
| + 7 smaller / regional plans | $7 - $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.
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Other Procedures at Good Samaritan Hospital of Suffern
Compare: Pneumococcal vaccine at other NY hospitals
- Richmond University Medical Center · Staten Island $51
- Mercy Medical Center · Rockville Centre $51
- St Catherine of Siena Hospital · Smithtown $51
- St Charles Hospital · Port Jefferson $52
- NYU Langone Hospitals · New York $59
- Elmhurst Hospital Center · Elmhurst $66
- Metropolitan Hospital Center · New York $66
- Schuyler Hospital · Montour Falls $72
Insurance negotiated median for the same procedure, sorted lowest first.