CMS Price Transparency Data

Pneumococcal vaccine

Facility: Gundersen St Josephs Hospital and Clinics

Billing Code: 90732 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$162
modeled fair price · typically $36–$524
modeled estimate · not a bill or quote
Fair price $162 Cash price $20 Hospital's list price $35

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.

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 $19 - $24 —
Blue Cross Blue Shieldmajor $19 - $67 —
Aetnamajor $33 —
Cignamajor $29 —
Humanamajor $30 —
Amerigroup $11 —
Quartz $133 —
Security Health Plan $7 —
UCare $18 - $28 —
+ 4 smaller / regional plans $28 - $67
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: 400 Water Ave, Hillsboro, WI 54634
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals