CMS Price Transparency Data

Pneumococcal vaccine

Facility: Mountain West Medical Center

Billing Code: 90732 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$119
modeled fair price · typically $69–$206
modeled estimate · not a bill or quote
What this hospital charges insurers
$114
About the fair price
about $5 under the fair price
Fair price $119 This hospital $114 Cash price $235 Hospital's list price $392

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

One of the lower prices — 7 of 8 other UT hospitals charge more for the same procedure.

Cheapest $75 Priciest $133

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

A fair price for a Pneumococcal vaccine is about $119. Mountain West Medical Center charges insurers about $114, or about $235 in cash — about the fair price. Located in Tooele, UT.

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 $302 —
Blue Cross Blue Shieldmajor $114 —
Aetnamajor $294 —
Cignamajor $278 —
Humanamajor $333 —
SelectHealth $294 —
+ 5 smaller / regional plans $255 - $333
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2055 North Main Street, Tooele, UT 84074
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals