Pneumococcal pneumonia vaccine (PPSV23) for adults

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Ppsv23 vacc 2 yrs+ subq/im

Payers reporting CPT 90732

Payer pricing summary

Low

$41

Average

$208

Median

$193

High

$530

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Cigna fee schedule · outpatient · +30 other terms	345	$197	$311	$217	70%	4–40	$9 – $1.1k
2	UnitedHealthcare fee schedule · outpatient · +37 other terms	704	$201	$208	$116	56%	2–20	$0 – $1.1k
3	Humana fee schedule · outpatient · +29 other terms	327	$132	$212	$459	216%	2–20	$1 – $8.3k
4	Caresource fee schedule · outpatient · +19 other terms	79	$133	$133	$47	35%	2–20	$1 – $379
5	Kaiser fee schedule · outpatient · +21 other terms	66	$133	$166	$127	77%	2–20	$1 – $871
6	Blue Cross Blue Shield fee schedule · outpatient · +35 other terms	358	$204	$239	$185	77%	—	$1 – $1.3k
7	Aetna fee schedule · outpatient · +35 other terms	247	$138	$243	$494	203%	—	$1 – $8.4k
8	Anthem fee schedule · outpatient · +28 other terms	159	$147	$161	$113	71%	—	$10 – $1.6k
9	Molina fee schedule · outpatient · +30 other terms	97	$133	$147	$99	67%	—	$1 – $443
10	MultiPlan fee schedule · outpatient · +21 other terms	83	$346	$382	$337	88%	—	$1 – $2.1k
11	Tricare facility · fee schedule · outpatient · +19 other terms	83	$127	$93	$87	93%	—	$0 – $576
12	Highmark facility · fee schedule · outpatient · +20 other terms	55	$74	$90	$61	69%	—	$11 – $247
13	WellCare facility · fee schedule · outpatient · +23 other terms	54	$102	$91	$58	64%	—	$2 – $298
14	Medica fee schedule · outpatient · +18 other terms	52	$219	$274	$151	55%	—	$31 – $1.2k
15	Amerihealth Caritas facility · fee schedule · outpatient · +17 other terms	46	$92	$86	$82	96%	—	$10 – $254
16	Devoted facility · fee schedule · outpatient · +15 other terms	45	$133	$181	$225	125%	—	$3 – $2.2k
17	Regence facility · fee schedule · both · +16 other terms	43	$133	$169	$73	43%	—	$34 – $529
18	Premera facility · fee schedule · both · +11 other terms	38	$133	$164	$67	41%	—	$54 – $380
19	Carefirst facility · fee schedule · both · +13 other terms	37	$133	$165	$66	40%	—	$116 – $380
20	Excellus facility · fee schedule · both · +15 other terms	37	$133	$161	$63	39%	—	$116 – $380
21	Wellmark facility · fee schedule · both · +18 other terms	37	$133	$160	$61	38%	—	$116 – $380
22	Ambetter facility · fee schedule · outpatient · +18 other terms	36	$161	$216	$388	180%	—	$2 – $3.3k
23	Medicare facility · fee schedule · outpatient · +16 other terms	33	$88	$118	$244	207%	—	$2 – $2.2k
24	Optum fee schedule · outpatient · +21 other terms	31	$131	$130	$90	69%	—	$1 – $381
25	Medicaid facility · fee schedule · outpatient · +15 other terms	30	$111	$71	$44	62%	—	$10 – $133

Page 1 of 3 · 64 payers