CMS Price Transparency Data

Pneumococcal vaccine

Facility: Holy Cross Hospital-Jordan Valley

Billing Code: 90732 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$124
modeled fair price · typically $53–$145
modeled estimate · not a bill or quote
What this hospital charges insurers
$133
About the fair price
about $9 over the fair price
Fair price $124 This hospital $133 Cash price $281 Hospital's list price $702

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

One of the lower prices — 0 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 $124. Holy Cross Hospital-Jordan Valley charges insurers about $133, or about $281 in cash — about the fair price. Located in West Jordan, 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 $322 - $702 —
Blue Cross Blue Shieldmajor $115 - $421 —
Aetnamajor $133 - $594 —
Cignamajor $251 - $562 —
Humanamajor $131 —
Molina $133 - $302 —
SelectHealth $465 —
+ 12 smaller / regional plans $133 - $702
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3580 West 9000 South, West Jordan, UT 84088
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals