CMS Price Transparency Data

Pneumococcal vaccine

Facility: HSHS St Clare Memorial Hospital

Billing Code: 90732 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$144
modeled fair price · typically $90–$285
modeled estimate · not a bill or quote
What this hospital charges insurers
$90
Below the fair price — a good deal
about $54 under the fair price
Fair price $144 This hospital $90 Cash price $59 Hospital's list price $90

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

On the higher side — 6 of 8 other WI hospitals charge less.

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 $144. HSHS St Clare Memorial Hospital charges insurers about $90, or about $59 in cash — below the fair price — a good deal. Located in Oconto Falls, WI.

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 $90 —
Blue Cross Blue Shieldmajor $22 - $90 —
Aetnamajor $22 - $90 —
Cignamajor $56 —
Humanamajor $22 - $76 —
Health Net $90 —
Meridian $35 —
Molina $22 - $45 —
Security Health Plan $22 - $57 —
+ 16 smaller / regional plans $22 - $90
Government programs also on file: Medicaid.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 855 S Main St, Oconto Falls, WI 54154
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals