Pneumovax 23 (PPSV23 Pneumococcal)
23-valent pneumococcal polysaccharide vaccine recommended for adults 65 and older, and earlier for those with chronic conditions.
Typical insured price · Colorado
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 $280.
Log scale · this page only
Cash price (median)
$253
What you'd pay self-pay
Gross charge (median)
$421
The chargemaster sticker
vs Medicare
—
Coming with enrichment
Sourced from 83 Colorado hospitals publishing under 45 CFR §180.50.
Medicare Advantage? Find your plan under More carriers; your MA rate differs from these chips.
Straight Medicare or uninsured? Carrier rates don’t apply; see the cash and methodology notes.
More carriers and specialty networks
Most patients pick a Major carrier. The networks below are repricers, employer plans, and specialty payers; choose one only if it’s printed on your insurance card.
At a glance
- Code
- CPT 90732
- Code system
- CPT (Current Procedural Terminology)
- Typical setting
- an outpatient setting
- Hospitals reporting
- 83
- Medicare preventive
- Yes — typically no cost-sharing
How they price Pneumovax 23 (PPSV23 Pneumococcal)
Across 83 Texas hospitals that publish a commercial negotiated rate for CPT 90732, the typical insured price for Pneumovax 23 (PPSV23 Pneumococcal) runs $205 to $342 (the 25th-to-75th percentile of per-hospital medians). The Texas median is $280 — half of reporting hospitals are at or below that figure. The median discounted cash price across the same hospitals is $253, against a median gross charge of $421.
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.
Every reporting hospital on one scale
Where to get it
Ranked by price: by your carrier’s rate once you pick one, otherwise by the median. The ruler plots each hospital’s price band and median on a shared scale; the colors compare each price to the Texas median.
85 hospitals listed
Medians shown combine all commercial payers; your plan's rate may differ. Choose your insurance carrier to filter.
| Compare | Hospital | Metro | Median · ledger Log scale · this page only | Your carrier's rate | Negotiated band | Cash | Payers |
|---|---|---|---|---|---|---|---|
| Permian Regional Medical Center Andrews County Ho Gross charge $84
| Rest of Texas | $68far below the state median | — | $56 – $123 | $42 | 6 | |
| Goodall Witcher Healthcare Gross charge $135
| Rest of Texas | $76far below the state median | — | $75 – $81 | $95 | 4 | |
| Seymour Hospital Gross charge $280
| Rest of Texas | $80far below the state median | — | $70 – $80 | $196 | 5 | |
| Peterson Regional Medical Center Gross charge $202
| Rest of Texas | $117far below the state median | — | $111 – $229 | $141 | 4 | |
Ascension Seton Northwest Hospital
| Austin | $133far below the state median | — | $133 – $403 | — | 2 | |
Dell Children S Medical Center
| Austin | $133far below the state median | — | $133 – $403 | — | 2 | |
Ascension Seton Edgar B Davis
| Austin | $133far below the state median | — | $133 – $403 | — | 2 | |
Ascension Seton Medical Center Austin
| Austin | $133far below the state median | — | $133 – $403 | — | 2 | |
Ascension Seton Cedar Park Hospital
| Austin | $133far below the state median | — | $133 – $403 | — | 2 | |
Dell Seton Medical Center at the University of Texas
| Austin | $133far below the state median | — | $133 – $396 | — | 2 | |
Ascension Seton Highland Lakes
| Rest of Texas | $133far below the state median | — | $133 – $403 | — | 2 | |
Ascension Seton Hays
| Austin | $133far below the state median | — | $133 – $403 | — | 2 | |
Ascension Seton Southwest Hospital
| Austin | $133far below the state median | — | $133 – $403 | — | 2 | |
Christus Saint Michael Rehabilitation Hospital
| Rest of Texas | $135far below the state median | — | $133 – $148 | — | 5 | |
Post Acute Medical Specialty Hospital of Texarkana
| Rest of Texas | $141far below the state median | — | $141 – $141 | — | 1 | |
| Baylor Scott White Surgical Hospital at Sherman Gross charge $246
| Rest of Texas | $152far below the state median | — | $152 – $152 | $148 | 1 | |
| Clay County Memorial Hospital Gross charge $457
| Rest of Texas | $169below the state median | — | $131 – $335 | $457 | 8 | |
| Pam Health Rehabilitation Hospital of Houston Heights Gross charge $236
| Houston Metro | $177below the state median | — | $168 – $177 | $236 | 6 | |
| Pam Health Rehabilitation Hospital of Allen Gross charge $236
| Dallas–Fort Worth | $177below the state median | — | $177 – $189 | $236 | 9 | |
| Pam Health Rehabilitation Hospital of El Paso Gross charge $236
| El Paso | $177below the state median | — | $177 – $177 | $236 | 5 | |
Christus Saint Michael Hospital
| Rest of Texas | $205below the state median | — | $135 – $560 | — | 6 | |
Christus Saint Michael Hospital Atlanta
| Rest of Texas | $205below the state median | — | $135 – $560 | — | 6 | |
| Citizens Medical Center Gross charge $468
| Rest of Texas | $224below the state median | — | $224 – $224 | $234 | 1 | |
| William P Clements Jr University Hospital Gross charge $263
| Dallas–Fort Worth | $229below the state median | — | $137 – $262 | $197 | 12 | |
| Texas Health Heart Vascular Hospital Arlington Gross charge $421
| Dallas–Fort Worth | $257below the state median | — | $173 – $367 | $253 | 14 | |
| Texas Health Arlington Memorial Gross charge $421
| Dallas–Fort Worth | $257below the state median | — | $153 – $367 | $253 | 15 | |
| Texas Health Harris Methodist Hurst Euless Bedford Gross charge $421
| Dallas–Fort Worth | $257below the state median | — | $153 – $367 | $253 | 15 | |
| Nocona General Hospital Gross charge $340
| Rest of Texas | $258below the state median | — | $242 – $284 | $28 | 5 | |
North Austin Medical Center
| Austin | $260below the state median | — | $191 – $277 | — | 1 | |
| Texas Health Denton Gross charge $421
| Dallas–Fort Worth | $261below the state median | — | $168 – $367 | $253 | 14 | |
| Texas Health Flower Mound Gross charge $421
| Dallas–Fort Worth | $261below the state median | — | $182 – $367 | $253 | 14 | |
| Texas Health Alliance Gross charge $421
| Dallas–Fort Worth | $261below the state median | — | $168 – $367 | $253 | 14 | |
| Texas Health Center for Diagnostics Surgery Gross charge $421
| Dallas–Fort Worth | $261below the state median | — | $182 – $367 | $253 | 15 | |
| Texas Health Harris Methodist Hospital Southlake Gross charge $421
| Dallas–Fort Worth | $261below the state median | — | $182 – $367 | $253 | 14 | |
| Texas Health Frisco Gross charge $421
| Dallas–Fort Worth | $261below the state median | — | $168 – $367 | $253 | 15 | |
| Texas Health Plano Gross charge $421
| Dallas–Fort Worth | $261below the state median | — | $168 – $367 | $253 | 15 | |
| Texas Health Presbyterian Hospital Dallas Gross charge $421
| Dallas–Fort Worth | $261below the state median | — | $168 – $367 | $253 | 15 | |
| Texas Health Harris Methodist Fort Worth Gross charge $421
| Dallas–Fort Worth | $266below the state median | — | $170 – $367 | $253 | 14 | |
| Texas Health Harris Methodist Hospital Southwest F Gross charge $421
| Dallas–Fort Worth | $266below the state median | — | $170 – $367 | $253 | 14 | |
Children S Hospital of San Antonio
| San Antonio | $268below the state median | — | $268 – $268 | — | 1 | |
| Texas Health Presbyterian Hospital Allen Gross charge $421
| Dallas–Fort Worth | $280about the state median | — | $168 – $367 | $253 | 15 | |
| Texas Health Cleburne Gross charge $421
| Dallas–Fort Worth | $280about the state median | — | $182 – $368 | $253 | 14 | |
| Texas Health Azle Gross charge $421
| Dallas–Fort Worth | $280about the state median | — | $182 – $367 | $253 | 14 | |
| Texas Health Kaufman Gross charge $421
| Dallas–Fort Worth | $280about the state median | — | $182 – $368 | $253 | 15 | |
Methodist Southlake Medical Center
| Dallas–Fort Worth | $287above the state median | — | $242 – $386 | — | 2 | |
Methodist Richardson Medical Center
| Dallas–Fort Worth | $287above the state median | — | $242 – $386 | — | 2 | |
Methodist Celina Medical Center
| Dallas–Fort Worth | $287above the state median | — | $242 – $386 | — | 2 | |
Methodist Hospital
| San Antonio | $287above the state median | — | $242 – $386 | — | 2 | |
Methodist Charlton Medical Center
| Dallas–Fort Worth | $287above the state median | — | $242 – $386 | — | 2 | |
Methodist Richardson Medical Center Campus for Continuing Care
| Dallas–Fort Worth | $287above the state median | — | $242 – $386 | — | 2 | |
Methodist Stone Oak Hospital
| San Antonio | $287above the state median | — | $242 – $386 | — | 2 | |
Methodist Mansfield Medical Center
| Dallas–Fort Worth | $287above the state median | — | $242 – $386 | — | 2 | |
Methodist Midlothian Medical Center
| Dallas–Fort Worth | $287above the state median | — | $242 – $386 | — | 2 | |
Methodist Hospital Atascosa
| San Antonio | $287above the state median | — | $242 – $386 | — | 2 | |
Methodist Hospital Stone Oak Rehabilitation Center
| San Antonio | $287above the state median | — | $242 – $386 | — | 2 | |
Christus Spohn Hospital Corpus Christi South
| Corpus Christi | $292above the state median | — | $133 – $373 | — | 4 | |
| Texas Health Harris Methodist Hospital Stephenvill Gross charge $421
| Rest of Texas | $294above the state median | — | $187 – $370 | $253 | 14 | |
Ascension Providence Hospital
| Waco | $302above the state median | — | $287 – $325 | — | 2 | |
Hca Houston Healthcare Medical Center
| Houston Metro | $316above the state median | — | $285 – $376 | — | 4 | |
Christus Spohn Hospital Corpus Christi Shoreline
| Corpus Christi | $322above the state median | — | $181 – $375 | — | 4 | |
Christus Santa Rosa Hospital Westover Hills
| San Antonio | $334above the state median | — | $177 – $382 | — | 4 | |
Christus Santa Rosa Hospital Alamo Heights
| San Antonio | $336above the state median | — | $177 – $382 | — | 4 | |
Christus Spohn Hospital Beeville
| Rest of Texas | $347above the state median | — | $133 – $401 | — | 4 | |
| Texas Health Specialty Hospital Fort Worth Gross charge $421
| Dallas–Fort Worth | $354above the state median | — | $299 – $371 | $253 | 9 | |
Christus Spohn Hospital Alice
| Rest of Texas | $373above the state median | — | $133 – $533 | — | 4 | |
| Shannon Medical Center Gross charge $590
| Rest of Texas | $389above the state median | — | $218 – $443 | $295 | 17 | |
| River Crest Hospital Gross charge $590
| Rest of Texas | $389above the state median | — | $218 – $443 | $295 | 17 | |
Christus Spohn Hospital Kleberg
| Rest of Texas | $411above the state median | — | $181 – $541 | — | 3 | |
| Hendrick Medical Center Brownwood Gross charge $654
| Rest of Texas | $427above the state median | — | $344 – $513 | $654 | 6 | |
Christus Good Shepherd Medical Center Longview
| Longview | $432above the state median | — | $139 – $694 | — | 3 | |
Christus Good Shepherd Medical Center Marshall
| Longview | $432above the state median | — | $139 – $694 | — | 3 | |
Christus Santa Rosa Hospital San Marcos
| Austin | $465above the state median | — | $452 – $487 | — | 3 | |
Christus Santa Rosa Hospital New Braunfels
| San Antonio | $498above the state median | — | $461 – $543 | — | 2 | |
| Limestone Medical Center Gross charge $843
| Rest of Texas | $521above the state median | — | $247 – $632 | $506 | 6 | |
| Freestone Medical Center Gross charge $1,140
| Rest of Texas | $570more than twice the state median | — | $117 – $570 | $798 | 4 | |
| Hendrick Medical Center Gross charge $1,277
| Rest of Texas | $571more than twice the state median | — | $344 – $889 | $1,277 | 10 | |
| Christus Southeast Texas Saint Elizabeth Gross charge $903
| Beaumont–Port Arthur | $780more than twice the state median | — | $375 – $1,077 | $298 | 24 | |
| The Medical Center of Southeast Texas Gross charge $903
| Beaumont–Port Arthur | $780more than twice the state median | — | $375 – $1,077 | $298 | 24 | |
| Children S Medical Center Dallas Gross charge $1,024
| Dallas–Fort Worth | $819more than twice the state median | — | $681 – $894 | $768 | 24 | |
| Children S Medical Center Plano Gross charge $1,193
| Dallas–Fort Worth | $847more than twice the state median | — | $787 – $894 | $894 | 24 | |
Baylor Surgical Hospital at Las Colinas
| Dallas–Fort Worth | $7,584more than five times the state median | — | $5,646 – $8,006 | — | 1 | |
Baylor Scott White Medical Center Trophy Club
| Dallas–Fort Worth | $7,584more than five times the state median | — | $5,646 – $8,006 | — | 1 | |
North Central Surgical Center Hospital
| Dallas–Fort Worth | $7,584more than five times the state median | — | $5,646 – $8,006 | — | 1 | |
| Coon Memorial Hospital Gross charge $74
| Rest of Texas | — | — | — | $74 | — | |
| Altus Lumberton Hospital Gross charge $904
| Beaumont–Port Arthur | — | — | — | — | — |
0 of 3 hospitals selected
Prices by metro: Houston MetroDallas–Fort WorthSan AntonioAustinEl PasoCorpus ChristiBeaumont–Port ArthurWacoLongviewRest of Texas
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.
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 Texas?
Across 83 Texas hospitals that publish a commercial negotiated rate, the median is $280. The middle half of hospitals fall between $205 and $342 — 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. Texas hospitals publish negotiated rates for Pneumovax 23 (PPSV23 Pneumococcal) under 92 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 Texas hospitals is $253. 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.
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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