CMS Price Transparency Data

Pneumococcal vaccine

Facility: Saint Alphonsus Medical Center Ontario

Billing Code: 90732 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$152
modeled fair price · typically $44–$317
modeled estimate · not a bill or quote
Fair price $152 Cash price $91 Hospital's list price $140

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $36 - $134 —
Blue Cross Blue Shieldmajor $36 - $210 —
Aetnamajor $37 - $133 —
Cignamajor $42 - $132 —
Humanamajor $42 - $123 —
Ambetter (Centene) $42 —
Dean Health Plan $126 —
GEHA $133 - $134 —
Health Net $42 - $118 —
HealthPartners $42 - $109 —
Meridian $42 —
Moda Health $38 - $136 —
Molina $42 —
PacificSource $132 - $180 —
Paramount $42 - $126 —
Presbyterian $42 —
Priority Health $132 —
SelectHealth $83 - $126 —
Tufts Health Plan $42 —
WellSense $42 —
+ 93 smaller / regional plans $37 - $210
Government programs also on file: Medicare, Medicaid.
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

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Facility Profile & Credentials

  • Address: 351 Sw 9Th Street, Ontario, OR 97914
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals