What is the typical price for Pneumovax 23 (PPSV23 Pneumococcal) in Colorado?

Across 35 Colorado hospitals reporting a commercial negotiated rate for CPT 90732, the 25th-to-75th percentile band runs $199 to $395 per hospital median. The 50th-percentile (Colorado median) is $234.

Why is the price range for Pneumovax 23 (PPSV23 Pneumococcal) so wide?

Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 2.0× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.

Is Pneumovax 23 (PPSV23 Pneumococcal) covered by Medicare?

Pneumovax 23 (PPSV23 Pneumococcal) is on Medicare's preventive-services list, which generally means no patient cost-sharing under Original Medicare or Medicare Advantage when the eligibility rules are met. Verify with your specific plan — frequency limits and clinical criteria still apply.

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 offer a self-pay rate that's 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.

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 MRF reports rates against this code.

Pneumovax 23 (PPSV23 Pneumococcal)

CPT 9073235 Colorado hospitals reporting

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 — half of negotiated 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, anaesthesia, 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

Pin a plan

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

Common questions

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

What is the typical price for Pneumovax 23 (PPSV23 Pneumococcal) in Colorado?: Across 35 Colorado hospitals reporting a commercial negotiated rate for CPT 90732, the 25th-to-75th percentile band runs $199 to $395 per hospital median. The 50th-percentile (Colorado median) is $234.
Why is the price range for Pneumovax 23 (PPSV23 Pneumococcal) so wide?: Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 2.0× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.
Is Pneumovax 23 (PPSV23 Pneumococcal) covered by Medicare?: Pneumovax 23 (PPSV23 Pneumococcal) is on Medicare's preventive-services list, which generally means no patient cost-sharing under Original Medicare or Medicare Advantage when the eligibility rules are met. Verify with your specific plan — frequency limits and clinical criteria still apply.
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 offer a self-pay rate that's 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.
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 MRF reports rates against this code.

Browse related collections

The same procedure shows up under several useful lenses. Each collection groups it with peers that get shopped together.