CMS Price Transparency Data

Pneumococcal vaccine

Facility: Grandview Medical Center

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $121
Cash Discount Price: $52
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Grandview Medical Center is $121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 3690 Grandview Parkway, Birmingham, AL.

Cash / Self-Pay

$52

Average discount available for prompt cash payment at this facility.

Insurance Median

$121

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Node VA	$13	N/A
UnitedHealthcare	$13 - $141	N/A
Medicare (plans)	$13	N/A
Select Health	$13	N/A
Hospice	$13	N/A
Humana	$13	N/A
Blue Advantage	$13	N/A
Victory Health	$13	N/A
Cigna	$13	N/A
Node Devoted Health McR Adv	$13	N/A
Viva Health	$13 - $148	N/A
Node Clover Health McR Adv	$14	N/A
Node Wellcare McR Adv	$14	N/A
Aetna	$14	N/A
Ambetter / Centene	$20	N/A
Self Pay	$40 - $65	N/A
Blue Cross Blue Shield	$47	N/A
Bp Health Advocate	$67	N/A
Ag Administrators	$94	N/A
Alamed	$94	N/A
Drummond	$94	N/A
Choicecare	$94	N/A
American Employee Alliance	$108	N/A
Healthspring	$121	N/A
Tricare	$127	N/A
Medicaid / KanCare	$133	N/A
Node Champva	$133	N/A
Value Options	$134	N/A
Healthchoice	$134 - $161	N/A
First Health	$161 - $210	N/A
Multiplan	$167 - $188	N/A
Blue Bell Creameries	$188	N/A
USA PPO	$202	N/A
Natl Comp Care	$202	N/A
Coventry Work Comp Al	$210	N/A
Novanet	$217	N/A
Cal-Med	$229	N/A
Alabama Wc	$229	N/A
Corvel	$229	N/A
Associated Admin	$242	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $52.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90732.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Grandview Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90732.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.