CMS Price Transparency Data

Pneumococcal vaccine

Facility: Klickitat Valley Hospital

Billing Code: 90732 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$109
modeled fair price · typically $40–$273
modeled estimate · not a bill or quote
Fair price $109 Cash price $115 Hospital's list price $239

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✓ Cigna AetnaHumanaKaiser 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 $64 - $320 —
Blue Cross Blue Shieldmajor $66 - $385 —
Cignamajor $97 - $167 —
Ambetter (Centene) $306 —
Health Net $131 - $418 —
Moda Health $131 - $418 —
Molina $61 - $396 —
PacificSource $62 - $330 —
Providence Health Plan $131 - $418 —
+ 2 smaller / regional plans $62 - $199

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 310 South Roosevelt, Goldendale, WA 98620
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals