Pneumonia vaccine (Pneumovax 23) cost in Bismarck, ND — inpatient
In Bismarck, ND, 2 hospitals list a cash price for pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) as an inpatient: from $45.90 to $120.58, with a median of $83.24. The lowest listed price is at St. Alexius Medical Center — $37.34 less than the median here. Across North Dakota, the median is $136.86 at 10 hospitals.
Cash prices at 2 facilities for code 90732, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Feb 28, 2026 and Mar 4, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Bismarck, ND.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| St. Alexius Medical Center lowest Bismarck, ND · (701) 530-7000 HC PNEUMOCOCCAL VACCINE23-VALENTADULT | $45.90 | $90.00 | $33.30–$81.00 | 49% | Feb 28, 2026 source file |
| St. Alexius Medical Center Bismarck, ND · (701) 530-7000 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCGM/0.5 ML INJECTION SYRINGME | $115.24 | $225.96 | $83.61–$203.37 | 49% | Feb 28, 2026 source file |
| Sanford Medical Center Bismarck Bismarck, ND · (701) 323-6000 Pneumococcal Vaccine Polyvalent Inj Soln 25 MCG/0.5ML | $120.58 | $150.72 | $82.90–$135.65 | 20% | Mar 4, 2026 source file |
| Sanford Medical Center Bismarck Bismarck, ND · (701) 323-6000 Pneumococcal Vaccine Polyvalent Soln Pref Syr 25 MCG/0.5ML | $174.22 | $217.77 | $119.77–$195.99 | 20% | Mar 4, 2026 source file |
Inpatient: lowest $45.90, median $83.24, highest $120.58 — a 2.6× difference within the same market.
As an outpatient, the same code is billed by 2 facilities here, median $83.24 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What it is
Pneumovax 23 is the older polysaccharide pneumonia vaccine, covering 23 types of pneumococcus. Today it is mainly given after the 15-valent conjugate vaccine, or to complete a series started with it.
What the price covers
The price is for the vaccine dose. Giving the shot is usually a separate line (code 90471 for the first vaccine of the visit); Medicare bills use G0009 instead.