CMS Price Transparency Data

Pneumococcal vaccine

Facility: Watsonville Community Hospital

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $316
Cash Discount Price: $253
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Watsonville Community Hospital is $316. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $253. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 75 Nielson Street, Watsonville, CA.

Cash / Self-Pay

$253

Average discount available for prompt cash payment at this facility.

Insurance Median

$316

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 (%)

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Commercial Insurance Negotiated Rates

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

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Nx Health Network	$42	N/A
Victim Compensation Plan	$76 - $422	N/A
Medicruz	$76	N/A
Secure Horizons Dign HMO	$84	N/A
Great-West/Phcs	$84 - $295	N/A
Cigna	$84 - $295	N/A
Blue Shield HMO	$84	N/A
Aetna	$84 - $346	N/A
Health Net Pmg HMO	$84 - $264	N/A
Blue Cross Blue Shield	$84 - $376	N/A
Pacificare HMO	$84 - $253	N/A
UnitedHealthcare	$84 - $253	N/A
California Childrens Srvs	$138	N/A
Medicaid / KanCare	$138	N/A
Healthy Families	$138	N/A
Well Path	$138 - $422	N/A
Medi-Cal/Eds	$138	N/A
Ccs/Monterey County	$138	N/A
Medi-Cal E.R.	$138	N/A
Pinnacle Claims Tpa/Bc	$169 - $376	N/A
Western Growers Trust/Bc	$169 - $376	N/A
Western Health Advantage	$211	N/A
Alliance/Sccho	$214	N/A
Health Net Smartcare Netw	$253	N/A
Self Pay	$253	N/A
Pacificare PPO	$253	N/A
Health Net Blue and Gold	$264	N/A
Health Net Canopycare HMO	$264	N/A
Health Net of California	$264	N/A
Adventist Risk Management	$295 - $337	N/A
Transwestern	$295 - $337	N/A
Geha (Ccn)	$295 - $337	N/A
First Health	$295 - $337	N/A
Private Healthcare System	$329	N/A
Multiplan Inc PPO	$329	N/A
Coastal Healthcare Admin	$358 - $379	N/A
Salinas Valley Mem Hops	$358	N/A
Calif Ironworkers Field	$366 - $376	N/A
Robert Kennedy/Ccn	$366 - $376	N/A
City of Wats/Pinnacle Clm	$366 - $376	N/A
Carpenters H&W Trust	$366 - $376	N/A
Sheet Metal Workers	$366 - $376	N/A
Claims Management Wc	$366 - $376	N/A
Operating Engineers	$366 - $376	N/A
Delta Health Systems	$366 - $376	N/A
Monterey Bay Pub Emp Trst	$366 - $376	N/A
Teamsters Benefit Trust	$366 - $376	N/A
Laborers Health & Welfare	$366 - $376	N/A
State Compensation Fund	$366 - $376	N/A
Miscellaneous Insurance	$422	N/A
Bankers Life & Casualty	$422	N/A
Prucare Pmg HMO	$422	N/A
Wholesale Beer Distributo	$422	N/A
Miscellaneous Auto	$422	N/A
North Calif Bakery Driver	$422	N/A
Allstate	$422	N/A
United Administrative	$422	N/A
Travelers Insurance	$422	N/A
Aarp	$422	N/A
Sutter Health Plus	$422	N/A
Apwu Health Plan	$422	N/A
Humana	$422	N/A
Aaa	$422	N/A
Physicians Mutual	$422	N/A
Prucare Pmg POS	$422	N/A
State Farm Ins	$422	N/A
Farmers Insurance	$422	N/A
Zenith National Ins	$422	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 $253.
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 Watsonville Community Hospital 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.