CMS Price Transparency Data

Pneumococcal vaccine

Facility: Gundersen Moundview Hospital and Clinics

Billing Code: 90732 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$157
modeled fair price · typically $43–$373
modeled estimate · not a bill or quote
What this hospital charges insurers
$83
Below the fair price — a good deal
about $74 under the fair price
Fair price $157 This hospital $83 Cash price $48 Hospital's list price $93

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

A typical price — 4 charge more and 4 charge less, among the 9 WI hospitals compared.

Cheapest $47 Priciest $132

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 $157. Gundersen Moundview Hospital and Clinics charges insurers about $83, or about $48 in cash — below the fair price — a good deal. Located in Friendship, 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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $43 - $93 —
Aetnamajor $88 —
Humanamajor $79 —
Amerigroup $11 —
Dean Health Plan $74 —
HealthPartners $43 - $82 —
Quartz $133 —
Security Health Plan $43 —
UCare $43 - $74 —
+ 5 smaller / regional plans $72 - $88
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: 402 W Lake St, Friendship, WI 53934
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals