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National price data · 1,714 hospitals

Pneumococcal vaccine cost

What a pneumococcal vaccine costs across the U.S. — and the fair price to aim for.

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Near Fair BaseRate Benchmark
1.00×vs. Fair Market Price
Position vs. 1.00× Fair PriceRight at U.S. Average (0%) 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety ScoreNot ScoredComposite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Baptist Health Medical Center - Jacksonville prices routine shoppable procedures near 2.7× Medicare (p50 1.00×) while skewing captive emergency, lab, and upper-quartile codes to 4.2× Medicare (p75 1.71×, +71% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#96 of 165 in FL · 57th State Percentile#1,859 of 3,385 in U.S. · 54th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 0.62× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 32% of shoppable procedures (99/100 Cash Honesty)
  • 4-Star CMS clinical rating with 77% patient recommendation (67/100 safety score)
  • IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (32.2% AGB cap)
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 3.4× markup over Medicare rates
  • Captive ER (1.4×) & laboratory (1.6×) services average 1.56× higher multiples than routine shoppable care (2.7×)
  • Upper-quartile procedures (Q75 1.71×) jump +71% above the median procedure ratio (Q50 1.00×)
  • Unnegotiated chargemaster list prices average 12.8× Medicare (14¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
2.7× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.56× Divergence
4.2× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+71% Upper Tail
Q25 0.62× · Q50 1.00× · Q75 1.71×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.
Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×
Front-Door Shoppable CareFront-Door Shoppable
2.7× MedicareFair
Outpatient Surgery & ORBack-Door Captive
3.4× MedicareElevated
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
1.5× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
1.4× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
1.6× MedicareGood
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
1.2× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
32% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
4 CMS · 67/100Fair
National Geographic Price Intelligence · 50-State + DC/PR Cartogram

National State Price Index Heatmap · Pneumococcal vaccine

State commercial price index vs. U.S. median (1.00×) and average Medicare multiple across all 53 priced states & territories

<0.93× Below Fair Price 0.93–1.05× Near Average 1.05–1.18× Elevated >1.18× High-Cost State
PR0.77×1.1× MedDC0.81×1.9× MedAK0.82×1.8× MedSD0.83×1.8× MedWY0.85×1.0× MedSC0.86×1.4× MedID0.89×1.6× MedAL0.94×1.1× MedHI0.95×1.3× MedIA0.95×1.7× MedIL0.95×1.5× MedMA0.95×1.9× MedMI0.95×1.1× MedMS0.95×1.3× MedND0.95×2.4× MedNE0.95×2.5× MedNV0.95×1.7× MedNY0.95×1.4× MedRI0.95×1.6× MedUT0.95×2.2× MedVT0.95×1.3× MedNJ0.96×1.7× MedPA0.96×1.3× MedAR0.97×1.4× MedME0.97×1.5× MedMN0.98×1.6× MedLA0.99×1.4× MedAZ1.00×1.5× MedCA1.00×1.5× MedNC1.01×1.6× MedKY1.06×1.7× MedNM1.06×2.0× MedWA1.06×1.5× MedFL1.07×2.1× MedOR1.09×1.5× MedTX1.10×1.8× MedDE1.11×2.3× MedGA1.11×1.6× MedKS1.16×1.8× MedTN1.16×1.3× MedMO1.19×1.4× MedOK1.19×1.7× MedWI1.20×2.0× MedCT1.23×1.3× MedMD1.24×1.2× MedNH1.38×1.9× MedOH1.43×1.4× MedCO1.44×1.9× MedVA1.44×1.7× MedIN1.50×1.4× MedWV1.50×1.5× MedMT1.66×1.5× Med
5 Lowest-Price States (Confounder-Isolated Value Leaders)
PR0.77×(1.1×)DC0.81×(1.9×)AK0.82×(1.8×)SD0.83×(1.8×)WY0.85×(1.0×)
5 Highest-Markup States (Strict Bill Audit Recommended)
MT1.66×(1.5×)WV1.50×(1.5×)IN1.50×(1.4×)VA1.44×(1.7×)CO1.44×(1.9×)
The BaseRate high confidence
$144
the fair national price for a pneumococcal vaccine
typically $93–$256 across 1,714 hospitals · how we calculate it
modeled estimate · not a bill or quote
1,714
hospitals priced
52
states
2.8×
price spread — where shopping matters
—
vs. Medicare

Across 1,714 hospitals in 52 states, a pneumococcal vaccine has a fair BaseRate of $144 and typically costs $93–$256. The cheapest state is DC; the priciest is MT.

Cheapest hospitals for a pneumococcal vaccine

Pneumococcal vaccine cost by state

AK $115 3 hospitals AL $131 26 hospitals AR $136 13 hospitals AZ $140 17 hospitals CA $140 91 hospitals CO $201 40 hospitals CT $172 10 hospitals DC $113 5 hospitals DE $155 2 hospitals FL $150 96 hospitals GA $156 50 hospitals HI $133 16 hospitals IA $133 53 hospitals ID $125 10 hospitals IL $133 65 hospitals IN $210 60 hospitals KS $163 54 hospitals KY $149 42 hospitals LA $139 52 hospitals MA $133 24 hospitals MD $174 2 hospitals ME $136 19 hospitals MI $133 57 hospitals MN $137 41 hospitals MO $167 29 hospitals MS $133 32 hospitals MT $233 7 hospitals NC $141 33 hospitals ND $133 13 hospitals NE $133 29 hospitals NH $193 10 hospitals NJ $135 43 hospitals NM $149 11 hospitals NV $133 18 hospitals NY $133 53 hospitals OH $200 61 hospitals OK $166 45 hospitals OR $153 14 hospitals PA $135 62 hospitals RI $133 4 hospitals SC $121 36 hospitals SD $116 7 hospitals TN $163 41 hospitals TX $154 140 hospitals UT $133 32 hospitals VA $202 29 hospitals VT $133 8 hospitals WA $148 23 hospitals WI $168 71 hospitals WV $210 13 hospitals
Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at U.S. Hospital Benchmark (Zero PHI Required)

Fair BaseRate™ $144
Medicare Rate $84
Self-Pay Cash Request Quote
Insurer Median $140
Pre-filled with U.S. Hospital Benchmark’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $122 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $122

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $122).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask U.S. Hospital Benchmark's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$192 Above Fair BaseRate

Negotiate Toward $144 Fair BaseRate ($84 Medicare)

Your bill ($336) is $192 above the denoised Fair BaseRate ($144) and 4.0× the $84 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.