Pneumovax 23 (PPSV23 Pneumococcal)

CPT 9073235 Colorado hospitals reporting a negotiated rate

23-valent pneumococcal polysaccharide vaccine recommended for adults 65 and older, and earlier for those with chronic conditions.

Typical insured price · Colorado

$199to$395

What hospitals actually accept from insurers, between the 25th and 75th percentile of per-hospital medians — half of reporting hospitals’ median rates fall in this window with a median of $234.

$199$395

Cash price (median)

$281

What you'd pay self-pay

Gross charge (median)

$337

The chargemaster sticker

vs Medicare

—

Coming with enrichment

Sourced from 35 Colorado hospitals publishing under 45 CFR §180.50.

At a glance

Code: CPT 90732
Code system: CPT (Current Procedural Terminology)
Typical setting: an outpatient setting
Hospitals reporting: 35
Medicare preventive: Yes — typically no cost-sharing

How they price Pneumovax 23 (PPSV23 Pneumococcal)

Across 35 Colorado hospitals that publish a commercial negotiated rate for CPT 90732, the typical insured price for Pneumovax 23 (PPSV23 Pneumococcal) runs $199 to $395 (the 25th-to-75th percentile of per-hospital medians). The Colorado median is $234 — half of reporting hospitals are at or below that figure. The median discounted cash price across the same hospitals is $281, against a median gross charge of $337.

What affects the price

Structural and contractual factors that move the price for this code — not clinical reasons.

Outpatient setting (hospital outpatient department, ambulatory surgery center, or office) is the single biggest non-clinical price driver — the same code in a hospital outpatient department often costs 2–4× the ambulatory-surgery-center rate.
In-network vs out-of-network status — out-of-network claims rarely use the negotiated rates shown here.
Facility fee — many hospitals add a separate facility fee in addition to the procedure rate; ask explicitly when calling.
Bundled vs unbundled billing — the rate may or may not include radiology read, anesthesia, or pathology. Ask which professional services are included.

Where to get it

Sorted by median negotiated rate, low to high. The bar shows each hospital’s position in the Colorado range.

38 hospitals listed

Medians shown combine all commercial payers; your plan's rate may differ. Choose your insurance carrier to filter.

Choose your insurance carrier

Carriers named by their MRF label. Confirm in-network status with your insurer before scheduling.

Hospitals reporting rates for this procedure, ranked by median negotiated price.
Hospital	Metro	Position · Median	Your carrier's rate	Negotiated band	Cash	Payers
National Jewish Health Denver Gross charge $147 Compare Metro Denver Metro Median negotiated $111 Your carrier's rate — 25th–75th $105 – $128 Cash $103 Payers 7	Denver Metro	$111	—	$105 – $128	$103	7
Uchealth Grandview Hospital Colorado Springs Gross charge $337 Compare Metro Colorado Springs Median negotiated $134 Your carrier's rate — 25th–75th $127 – $198 Cash $118 Payers 13	Colorado Springs	$134	—	$127 – $198	$118	13
Hca Healthone Swedish Medical Center Gross charge $315 Compare Metro Denver Metro Median negotiated $142 Your carrier's rate — 25th–75th $81 – $220 Cash $315 Payers 13	Denver Metro	$142	—	$81 – $220	$315	13
Uchealth University of Colorado Hospital Aurora Gross charge $337 Compare Metro Denver Metro Median negotiated $159 Your carrier's rate — 25th–75th $133 – $198 Cash $118 Payers 15	Denver Metro	$159	—	$133 – $198	$118	15
Uchealth Memorial Hospital North Colorado Springs Gross charge $337 Compare Metro Colorado Springs Median negotiated $165 Your carrier's rate — 25th–75th $131 – $208 Cash $152 Payers 14	Colorado Springs	$165	—	$131 – $208	$152	14
Uchealth Memorial Hospital Central Colorado Springs Gross charge $337 Compare Metro Colorado Springs Median negotiated $165 Your carrier's rate — 25th–75th $131 – $208 Cash $152 Payers 14	Colorado Springs	$165	—	$131 – $208	$152	14
Uchealth Highlands Ranch Hospital Gross charge $337 Compare Metro Denver Metro Median negotiated $169 Your carrier's rate — 25th–75th $133 – $212 Cash $101 Payers 12	Denver Metro	$169	—	$133 – $212	$101	12
Uchealth Longs Peak Hospital Longmont Gross charge $337 Compare Metro Boulder Median negotiated $178 Your carrier's rate — 25th–75th $133 – $223 Cash $118 Payers 14	Boulder	$178	—	$133 – $223	$118	14
Uchealth Estes Valley Medical Center Estes Park Gross charge $191 Compare Metro Fort Collins Median negotiated $181 Your carrier's rate — 25th–75th $135 – $185 Cash $143 Payers 15	Fort Collins	$181	—	$135 – $185	$143	15
Denver Health Medical Center Gross charge $332 Compare Metro Denver Metro Median negotiated $217 Your carrier's rate — 25th–75th $133 – $231 Cash $116 Payers 7	Denver Metro	$217	—	$133 – $231	$116	7
Commonspirit St Francis Hospital Gross charge $702 Compare Metro Colorado Springs Median negotiated $220 Your carrier's rate — 25th–75th $166 – $281 Cash $281 Payers 15	Colorado Springs	$220	—	$166 – $281	$281	15
Commonspirit Longmont United Hospital Gross charge $702 Compare Metro Boulder Median negotiated $220 Your carrier's rate — 25th–75th $166 – $246 Cash $281 Payers 15	Boulder	$220	—	$166 – $246	$281	15
Uchealth Parkview Medical Center Pueblo Compare Metro Rest of Colorado Median negotiated $220 Your carrier's rate — 25th–75th $133 – $250 Cash — Payers 7	Rest of Colorado	$220	—	$133 – $250	—	7
Uchealth Greeley Hospital Gross charge $337 Compare Metro Rest of Colorado Median negotiated $227 Your carrier's rate — 25th–75th $142 – $310 Cash $202 Payers 12	Rest of Colorado	$227	—	$142 – $310	$202	12
Commonspirit St Francis Hospital Interquest Gross charge $702 Compare Metro Colorado Springs Median negotiated $230 Your carrier's rate — 25th–75th $167 – $344 Cash $281 Payers 14	Colorado Springs	$230	—	$167 – $344	$281	14
Commonspirit St Anthony North Hospital Gross charge $702 Compare Metro Denver Metro Median negotiated $232 Your carrier's rate — 25th–75th $182 – $274 Cash $281 Payers 16	Denver Metro	$232	—	$182 – $274	$281	16
Commonspirit Orthocolorado Hospital Gross charge $702 Compare Metro Denver Metro Median negotiated $232 Your carrier's rate — 25th–75th $166 – $281 Cash $281 Payers 15	Denver Metro	$232	—	$166 – $281	$281	15
Commonspirit St Anthony Hospital Lakewood Gross charge $702 Compare Metro Denver Metro Median negotiated $234 Your carrier's rate — 25th–75th $192 – $277 Cash $281 Payers 14	Denver Metro	$234	—	$192 – $277	$281	14
Pikes Peak Regional Hospital Woodland Park Gross charge $337 Compare Metro Colorado Springs Median negotiated $237 Your carrier's rate — 25th–75th $154 – $284 Cash $270 Payers 12	Colorado Springs	$237	—	$154 – $284	$270	12
Commonspirit St Mary Corwin Hospital Pueblo Gross charge $702 Compare Metro Rest of Colorado Median negotiated $246 Your carrier's rate — 25th–75th $131 – $316 Cash $281 Payers 14	Rest of Colorado	$246	—	$131 – $316	$281	14
Uchealth Medical Center of the Rockies Loveland Gross charge $337 Compare Metro Fort Collins Median negotiated $259 Your carrier's rate — 25th–75th $154 – $307 Cash $236 Payers 16	Fort Collins	$259	—	$154 – $307	$236	16
Uchealth Poudre Valley Hospital Fort Collins Gross charge $337 Compare Metro Fort Collins Median negotiated $259 Your carrier's rate — 25th–75th $154 – $307 Cash $236 Payers 16	Fort Collins	$259	—	$154 – $307	$236	16
Uchealth Yampa Valley Medical Center Steamboat Springs Gross charge $337 Compare Metro Rest of Colorado Median negotiated $293 Your carrier's rate — 25th–75th $253 – $327 Cash $303 Payers 12	Rest of Colorado	$293	—	$253 – $327	$303	12
Boulder Community Health Foothills Hospital Gross charge $573 Compare Metro Boulder Median negotiated $294 Your carrier's rate — 25th–75th $141 – $487 Cash $286 Payers 30	Boulder	$294	—	$141 – $487	$286	30
Commonspirit Mercy Hospital Durango Gross charge $702 Compare Metro Rest of Colorado Median negotiated $305 Your carrier's rate — 25th–75th $190 – $576 Cash $281 Payers 16	Rest of Colorado	$305	—	$190 – $576	$281	16
Children S Hospital Colorado Colorado Springs Gross charge $577 Compare Metro Colorado Springs Median negotiated $375 Your carrier's rate — 25th–75th $317 – $429 Cash $375 Payers 32	Colorado Springs	$375	—	$317 – $429	$375	32
Commonspirit St Anthony Summit Medical Center Gross charge $702 Compare Metro Rest of Colorado Median negotiated $414 Your carrier's rate — 25th–75th $200 – $573 Cash $281 Payers 14	Rest of Colorado	$414	—	$200 – $573	$281	14
Hca Healthone Presbyterian St Luke S Medical Center Gross charge $911 Compare Metro Denver Metro Median negotiated $437 Your carrier's rate — 25th–75th $236 – $615 Cash $911 Payers 14	Denver Metro	$437	—	$236 – $615	$911	14
Hca Healthone Rose Medical Center Gross charge $771 Compare Metro Denver Metro Median negotiated $493 Your carrier's rate — 25th–75th $198 – $540 Cash $771 Payers 14	Denver Metro	$493	—	$198 – $540	$771	14
Commonspirit St Thomas More Hospital Ca on City Gross charge $702 Compare Metro Rest of Colorado Median negotiated $517 Your carrier's rate — 25th–75th $213 – $599 Cash $281 Payers 14	Rest of Colorado	$517	—	$213 – $599	$281	14
Hca Healthone Aurora Medical Center of Aurora Gross charge $1,111 Compare Metro Denver Metro Median negotiated $528 Your carrier's rate — 25th–75th $286 – $778 Cash $1,111 Payers 13	Denver Metro	$528	—	$286 – $778	$1,111	13
Commonspirit St Elizabeth Hospital Fort Morgan Gross charge $702 Compare Metro Rest of Colorado Median negotiated $546 Your carrier's rate — 25th–75th $135 – $660 Cash $281 Payers 12	Rest of Colorado	$546	—	$135 – $660	$281	12
Grand River Health Rifle Gross charge $0 Compare Metro Rest of Colorado Median negotiated $903 Your carrier's rate — 25th–75th $903 – $903 Cash $0 Payers 1	Rest of Colorado	$903	—	$903 – $903	$0	1
Hca Healthone Mountain Ridge Thornton Gross charge $1,540 Compare Metro Denver Metro Median negotiated $986 Your carrier's rate — 25th–75th $399 – $1,078 Cash $1,540 Payers 14	Denver Metro	$986	—	$399 – $1,078	$1,540	14
Hca Healthone Sky Ridge Medical Center Gross charge $1,897 Compare Metro Denver Metro Median negotiated $1,123 Your carrier's rate — 25th–75th $525 – $1,474 Cash $1,897 Payers 12	Denver Metro	$1,123	—	$525 – $1,474	$1,897	12
Community Hospital Grand Junction Gross charge $212 Compare Metro Rest of Colorado Median negotiated — Your carrier's rate — 25th–75th — Cash $119 Payers —	Rest of Colorado	—	—	—	$119	—
Lincoln Community Hospital Hugo Gross charge $253 Compare Metro Rest of Colorado Median negotiated — Your carrier's rate — 25th–75th — Cash $253 Payers —	Rest of Colorado	—	—	—	$253	—
Prowers Medical Center Lamar Gross charge $111 Compare Metro Rest of Colorado Median negotiated — Your carrier's rate — 25th–75th — Cash $67 Payers —	Rest of Colorado	—	—	—	$67	—

0 of 3 hospitals selected

Pick up to 3 hospitals from the table to compare.

Prices by metro: Denver MetroColorado SpringsFort CollinsBoulderRest of Colorado

What to do next

Ask the hospital for a Good Faith Estimate — under the federal No Surprises Act, hospitals must give uninsured and self-pay patients a written estimate for scheduled care. If you're insured, ask your insurer for your expected cost-sharing in advance, confirm the hospital is in-network, and bring your insurance card.

Know your rights under the No Surprises Act (CMS) →

Common questions

Short answers, derived from the data on this page. See the full FAQ for site-wide questions.

How much does Pneumovax 23 (PPSV23 Pneumococcal) cost in Colorado?

Across 35 Colorado hospitals that publish a commercial negotiated rate, the median is $234. The middle half of hospitals fall between $199 and $395 — the 25th-to-75th percentile of per-hospital medians.

Is the doctor's fee included in these prices?

Vaccines are usually administered by hospital staff with no separate physician fee — the price shown is typically for the vaccine itself. Confirm when scheduling whether an office-visit or administration fee applies.

Does insurance change what I'd pay?

Yes. The negotiated rate depends on which insurer and plan you have, and what you actually pay depends on your deductible, coinsurance, and whether the hospital is in your network. Colorado hospitals publish negotiated rates for Pneumovax 23 (PPSV23 Pneumococcal) under 90 different payer names. Verify coverage with your insurer before scheduling. Choose your insurance carrier above the hospital table to see per-insurer rates.

What's the cash price for Pneumovax 23 (PPSV23 Pneumococcal) if I don't have insurance?

The median discounted cash price across reporting Colorado hospitals is $281. Hospitals are required to publish any discounted cash price they offer self-pay patients — often less than the gross "chargemaster" charge but typically more than the lowest negotiated rate — the per-hospital table on this page shows the full spread.

Is Pneumovax 23 (PPSV23 Pneumococcal) covered by Medicare?

Pneumovax 23 (PPSV23 Pneumococcal) is generally eligible for Medicare preventive coverage when it's performed as a covered screening or immunization and you meet Medicare's eligibility rules — in those cases there's typically no cost-sharing. The same procedure done for diagnostic or treatment reasons is billed normally against your deductible and coinsurance. Verify with your plan — the coverage pathway, frequency limits, and clinical criteria all matter.

Is this a price quote?

No. These are rates hospitals have published under the federal price-transparency rule — they show what insurers have negotiated, not what you will be billed. Your bill depends on your plan, deductible, in-network status, and clinical circumstances. Verify the price with the hospital and confirm coverage with your insurer before scheduling.

What are my rights if the bill doesn't match?

If you're uninsured or paying cash, the federal No Surprises Act gives you the right to a written Good Faith Estimate before scheduled care — and if the final bill is at least $400 over that estimate, you can dispute it. Most insured patients are also protected from surprise bills for emergency care and certain out-of-network care at in-network facilities.

Know your rights under the No Surprises Act (CMS) →

What does CPT 90732 mean?

CPT 90732 is the CPT (Current Procedural Terminology) code for Pneumovax 23 (PPSV23 Pneumococcal). It identifies the procedure for billing and price-disclosure purposes — every hospital's machine-readable file reports rates against this code.

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