CMS Price Transparency Data

Pneumococcal vaccine

Facility: Gifford Medical Center

Billing Code: 90732 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$105
modeled fair price · typically $47–$237
modeled estimate · not a bill or quote
Fair price $105 Hospital's list price $301

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $120 - $256 —
Blue Cross Blue Shieldmajor $137 - $367 —
Aetnamajor $283 —
Harvard Pilgrim $185 —
MVP Health Care $133 —
+ 1 smaller / regional plan $133
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: 44 South Main Street, Randolph, VT 05060
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals