CMS Price Transparency Data

Pneumococcal vaccine

Facility: Intermountain Health Fillmore Community Hospital

Billing Code: 90732 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$134
modeled fair price · typically $55–$231
modeled estimate · not a bill or quote
What this hospital charges insurers
$133
About the fair price
about $1 under the fair price
Fair price $134 This hospital $133 Cash price $176 Hospital's list price $234

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 $134. Intermountain Health Fillmore Community Hospital charges insurers about $133, or about $176 in cash — about the fair price. Located in Fillmore, 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 $108 - $222 —
Blue Cross Blue Shieldmajor $108 - $222 —
Aetnamajor $108 - $225 —
Cignamajor $222 —
Humanamajor $108 - $133 —
HealthPartners $108 - $133 —
Molina $108 - $222 —
SelectHealth $108 - $222 —
+ 30 smaller / regional plans $89 - $225
Government programs also on file: Military & VA.
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: 674 South Highway 99, Fillmore, UT 84631
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals