CMS Price Transparency Data

Pneumococcal vaccine

Facility: Holy Family Memorial

Billing Code: 90732 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$135
modeled fair price · typically $101–$173
modeled estimate · not a bill or quote
What this hospital charges insurers
$135
About the fair price
Fair price $135 This hospital $135

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $47 Priciest $135

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

A fair price for a Pneumococcal vaccine is about $135. Holy Family Memorial charges insurers about $135 — about the fair price. Located in Manitowoc, WI.

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✓ Humana AetnaCignaKaiser 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 $133 - $141 —
Blue Cross Blue Shieldmajor $133 - $180 —
Humanamajor $133 —
Dean Health Plan $187 —
HealthPartners $133 —
Molina $133 - $144 —
Security Health Plan $133 —
+ 4 smaller / regional plans $133 - $141

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Facility Profile & Credentials

  • Address: 2300 Western Ave, Manitowoc, WI 54221
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals