CMS Price Transparency Data

Pneumococcal vaccine

Facility: Boone Memorial Hospital

Billing Code: 90732 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$109

modeled fair price · typically $47–$158

modeled estimate · not a bill or quote

What this hospital charges insurers

$106

About the fair price

about $3 under the fair price

Fair price $109 This hospital $106 Cash price $265 Hospital's list price $379

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

Lowest price of the 9 WV hospitals we have prices for — a strong deal.

Cheapest $106 Priciest $210

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

A fair price for a Pneumococcal vaccine is about $109. Boone Memorial Hospital charges insurers about $106, or about $265 in cash — about the fair price. Located in Madison, WV.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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	$9 - $129	—
Aetnamajor	$9 - $438	—
Cignamajor	$25 - $344	—
Humanamajor	$9 - $127	—

Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 265), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: 90732.

Insurance Before you use insurance

Call your insurance company to confirm Boone Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for HCPCS code 90732.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Boone Memorial Hospital

Compare: Pneumococcal vaccine at other WV hospitals

Insurance negotiated median for the same procedure, sorted lowest first.