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Procedure price report · Prophylactic vaccinations and inoculations

Pneumonia shot, 23-strain polysaccharide

CPT 90732the billing code this page is about

One 0.5 mL dose of the 23-strain pneumococcal polysaccharide vaccine for adults and older children, given under the skin or into a muscle; covers the vaccine product per dose.

Hospitals typically charge $172 cash for this outpatient procedure — the median across 2,327 hospitals that filed a usable cash price; the average of the middle 60% is $192. Most fall between $88 and $364 (20th–80th percentile).

Hospitals
2,327
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 2,327 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$54$104$172$313$570

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($54 vs $570).

How the prices are spread

$35 – $48: 69 hospitals$35$48 – $66: 110 hospitals$66 – $90: 179 hospitals$66$90 – $123: 277 hospitals$123 – $169: 400 hospitals$123$169 – $231: 291 hospitals$231 – $316: 318 hospitals$231$316 – $433: 195 hospitals$433 – $593: 167 hospitals$433$593 – $812: 89 hospitals$593median $172price bands are equal on a log scale
Hospitals per price band (2,095 of 2,327 — the bands cover the 5th to 95th percentile)
FromToHospitals
$35$4869
$48$66110
$66$90179
$90$123277
$123$169400
$169$231291
$231$316318
$316$433195
$433$593167
$593$81289

By state

The median cash price in each state, against the national median of $172.

Alaska: median $213 across 15 hospitalsAK$213Maine: median $82 across 16 hospitalsME$82Vermont: median $154 across 13 hospitalsVT$154New Hampshire: median $125 across 15 hospitalsNH$125Washington: median $116 across 39 hospitalsWA$116Idaho: median $149 across 18 hospitalsID$149Montana: median $174 across 22 hospitalsMT$174North Dakota: median $172 across 26 hospitalsND$172Minnesota: median $145 across 80 hospitalsMN$145Illinois: median $165 across 85 hospitalsIL$165Wisconsin: median $141 across 69 hospitalsWI$141Michigan: median $141 across 61 hospitalsMI$141New York: median $127 across 77 hospitalsNY$127Massachusetts: median $273 across 28 hospitalsMA$273Oregon: median $156 across 35 hospitalsOR$156Nevada: median $180 across 18 hospitalsNV$180Wyoming: median $195 across 12 hospitalsWY$195South Dakota: median $142 across 21 hospitalsSD$142Iowa: median $137 across 66 hospitalsIA$137Indiana: median $166 across 66 hospitalsIN$166Ohio: median $275 across 93 hospitalsOH$275Pennsylvania: median $113 across 97 hospitalsPA$113New Jersey: median $153 across 39 hospitalsNJ$153Connecticut: median $233 across 14 hospitalsCT$233Rhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $162 across 148 hospitalsCA$162Utah: median $176 across 30 hospitalsUT$176Colorado: median $281 across 53 hospitalsCO$281Nebraska: median $187 across 57 hospitalsNE$187Missouri: median $106 across 41 hospitalsMO$106Kentucky: median $254 across 52 hospitalsKY$254West Virginia: median $114 across 34 hospitalsWV$114Virginia: median $158 across 37 hospitalsVA$158Maryland: median $271 across 20 hospitalsMD$271Delaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $180 across 28 hospitalsAZ$180New Mexico: median $288 across 23 hospitalsNM$288Kansas: median $160 across 69 hospitalsKS$160Arkansas: median $109 across 15 hospitalsAR$109Tennessee: median $141 across 53 hospitalsTN$141North Carolina: median $187 across 55 hospitalsNC$187South Carolina: median $172 across 35 hospitalsSC$172Oklahoma: median $167 across 42 hospitalsOK$167Louisiana: median $145 across 36 hospitalsLA$145Mississippi: median $186 across 36 hospitalsMS$186Alabama: median $210 across 35 hospitalsAL$210Georgia: median $261 across 69 hospitalsGA$261Hawaii: median $197 across 17 hospitalsHI$197Texas: median $253 across 173 hospitalsTX$253Florida: median $369 across 136 hospitalsFL$369
Cash price by state, most expensive first. National median $172. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL136$369+115%$203 – $758
New Mexico NM23$288+68%$118 – $354
Colorado CO53$281+64%$132 – $475
Ohio OH93$275+60%$77 – $364
Massachusetts MA28$273+59%$158 – $551
Maryland MD20$271+58%$125 – $402
Georgia GA69$261+52%$118 – $722
Kentucky KY52$254+48%$46 – $582
Texas TX173$253+47%$107 – $694
Connecticut CT14$233+36%$151 – $323
Alaska AK15$213+24%$133 – $467
Alabama AL35$210+22%$77 – $322
Hawaii HI17$197+15%$101 – $272
Wyoming WY12$195+13%$64 – $287
Nebraska NE57$187+9%$113 – $248
North Carolina NC55$187+9%$93 – $939
Mississippi MS36$186+9%$63 – $316
Nevada NV18$180+5%$100 – $414
Arizona AZ28$180+5%$66 – $475
Utah UT30$176+2%$176 – $341
Montana MT22$174+1%$115 – $254
North Dakota ND26$1720%$104 – $224
South Carolina SC35$1720%$119 – $177
Oklahoma OK42$167−2%$123 – $272
Indiana IN66$166−3%$110 – $269
Illinois IL85$165−4%$105 – $292
California CA148$162−6%$82 – $484
Kansas KS69$160−7%$101 – $281
Virginia VA37$158−8%$79 – $579
Oregon OR35$156−9%$63 – $315
Vermont VT13$154−10%$100 – $369
New Jersey NJ39$153−11%$53 – $282
Idaho ID18$149−13%$115 – $254
Louisiana LA36$145−15%$71 – $271
Minnesota MN80$145−15%$98 – $216
South Dakota SD21$142−17%$109 – $235
Michigan MI61$141−18%$70 – $199
Wisconsin WI69$141−18%$86 – $251
Tennessee TN53$141−18%$83 – $279
Iowa IA66$137−20%$82 – $272
New York NY77$127−26%$75 – $257
New Hampshire NH15$125−27%$96 – $596
Washington WA39$116−32%$75 – $217
West Virginia WV34$114−34%$105 – $303
Pennsylvania PA97$113−34%$73 – $207
Arkansas AR15$109−37%$28 – $197
Missouri MO41$106−39%$55 – $235
Maine ME16$82−52%$55 – $152
Delaware DE4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $172.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,619$187$90 – $408
Children’s46$163$53 – $353
Critical access655$157$88 – $276
Ownership
For-profit376$309$119 – $662
Government440$151$77 – $293
Non-profit1,504$166$86 – $330
System affiliation
Part of a system1,858$177$93 – $386
Independent469$154$80 – $304

Cash price vs list price

Median list price (chargemaster)$282
Median cash price$172
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,595 hospitals filed a usable inpatient cash price for this code. The median is $176 and the average of the middle 60% is $193; most fall between $91 and $354.

Cash price percentiles, inpatient, across 1,595 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$56$105$176$302$527

The most expensive tenth of hospitals charges at least 9.4× what the cheapest tenth charges ($56 vs $527).

Of the 1,756 hospitals that filed this code inpatient, 1,595 gave a usable cash price; 50 carried a plausibility flag, 6 filed a number their own filing marks as not a price, 0 gave an estimate, and 105 a list price only.

How complete is this

2,327 of the 3,956 hospitals with a price file in our corpus (59%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,530 hospitals that filed this code at all gave us
Usable cash price — counted2,327
Cash price carrying a plausibility flag — shown on the compare tool, excluded here65
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded7
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded131
Hospitals that filed this code2,530

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Prophylactic vaccinations and inoculations family.

Hospitals file this code under descriptions such as Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Pneumonia shot, 23-strain polysaccharide (CPT 90732) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90732-pneumonia-shot-23-strain-polysaccharide