CMS Price Transparency Data

Pneumococcal vaccine

Facility: Clovis Community Medical Center

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $176
Cash Discount Price: $668
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Clovis Community Medical Center is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $668. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.

Cash / Self-Pay

$668

Average discount available for prompt cash payment at this facility.

Insurance Median

$176

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

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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
Blue Shield	$57 - $138	N/A
Us Marshal	$133	N/A
Advantek Table Mountain Rancheria Tribal Member	$133	N/A
Gemcare HMO	$133	N/A
Bscphp HMO - First Choice	$133	N/A
Healthnet HMO - La Salle	$133	N/A
Meritage Brand New Day	$133	N/A
Cares Act Provider Relief Fund	$133	N/A
Blue Shield Sante	$133	N/A
UnitedHealthcare	$133 - $1,015	N/A
Sante Sub Cap Healthnet Seniority	$133	N/A
Blue Shield 65 Plus HMO First Choice	$133	N/A
Medi-Cal Innovative Integrated Health	$133	N/A
Bscphp - Dhmso	$133	N/A
Victims of Crime	$133	N/A
Sante-Sub Cap Ma Brand New Day	$133	N/A
Railroad Part A & B	$133	N/A
Meritage Healthnet HMO	$133	N/A
Blue Shield Hmo-Cvmp/Medpro	$133	N/A
Blue Shield 65 Plus HMO Ehs	$133	N/A
Blue Shield Promise - Imperial	$133	N/A
Scan Health Plan	$133	N/A
Aetna	$133 - $896	N/A
Medicare (plans)	$133	N/A
Healthnet HMO - Cvmp/Medpro	$133	N/A
Railroad Part A	$133	N/A
Kaiser	$133	N/A
Care1St HMO - Ehs	$133	N/A
Sante-Healthnet Seniority	$133	N/A
Generic	$133	N/A
Healthnet Sante - Sub Cap Dual Risk	$133	N/A
Hartford Life Supplement	$133	N/A
Generic Bscphp	$133	N/A
Sequoia Pace - Peak Tpa	$133	N/A
Railroad Part B	$133	N/A
Cigna	$133 - $1,075	N/A
Sante-Blue Shield/Sante	$133	N/A
Generic Victims of Crime	$133	N/A
Blue Shield Saint Agnes	$133	N/A
Sante Sub Cap-Blue Shield/Sante	$133	N/A
Meritage Blue Shield 65 Plus	$133	N/A
Healthnet Sante Dual Risk	$133	N/A
Brand New Day	$133	N/A
Healthnet HMO - Dhmso	$133	N/A
Healthnet HMO - Sante	$133	N/A
Blue Cross Blue Shield	$133 - $1,231	N/A
Sante	$133 - $172	N/A
Todays Pyramid	$133	N/A
Bscphp - First Choice	$133	N/A
Healthnet Sante	$133	N/A
Wellcare	$133	N/A
Humana	$133 - $1,645	N/A
Medi-Cal Partnership Health Plan of Ca	$138	N/A
Ccs Kings	$138	N/A
Ccs Mariposa	$138	N/A
Ccs Stanislaus	$138	N/A
Medi-Cal La Care Health	$138	N/A
San Francisco Health Plan Medi-Cal	$138	N/A
Ccs Merced	$138	N/A
Genetically Handicapped Person	$138	N/A
Ccs Fresno	$138	N/A
Medi-Cal Molina	$138	N/A
Medi-Cal Kern Family Health	$138	N/A
Cal Caloptima	$138	N/A
Ccs Madera/Sacramento	$138	N/A
Medi-Cal Alameda Alliance for Health	$138	N/A
Medi-Cal Blue Shield Promise Health	$138	N/A
Ccs Kern	$138	N/A
Medi-Cal Cencal Health	$138	N/A
Medi-Cal Community Health Group	$138	N/A
Gold Coast Medi-Cal	$138	N/A
Generic Care Out of County	$138	N/A
Ccs Tulare	$138	N/A
Generic Ccs Other Counties	$138	N/A
Santa Clara Family Health Plan - Valley Health	$138	N/A
Medi-Cal California Health & Wellness Plan	$138	N/A
Medi-Cal Health Plan of San Mateo	$138	N/A
Fresno County Funded Specialty Care	$138	N/A
Medi-Cal Inland Empire Health	$138	N/A
Santa Clara Family Health Plan - Premier Health	$138	N/A
Medi-Cal Contra Costa Health Plan	$138	N/A
Chdp	$138	N/A
Innovative Integrated Health Community Plans HMO	$147	N/A
Alignment Health Plan	$147	N/A
Champion Health Plan of California Ma	$147	N/A
Imperial Health Plan HMO	$153	N/A
Correctcare Integrated Health	$174	N/A
Central Valley Medical Providers	$179 - $1,355	N/A
Community Care	$183 - $494	N/A
Sequoia Pace	$207	N/A
Health Plan of San Joaquin	$207	N/A
Adventist -McL Calviva Sub Cap	$228	N/A
Healthnet	$266	N/A
Coalinga State Hospital	$267	N/A
Employer 90/40	$287 - $774	N/A
Naphcare Inc-Mendota	$287	N/A
Central Ca Indian Health	$394 - $1,065	N/A
Healthsmart	$487 - $1,549	N/A
Network By Design	$501 - $1,355	N/A
Nx Health Network PPO	$501 - $1,355	N/A
Generic Multiplan	$537 - $1,452	N/A
Coventry Health Care (First Health Network)	$537 - $1,452	N/A
PHCS	$537 - $1,452	N/A
Well Path (Cfmg)	$788 - $2,129	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 $668.
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 Clovis Community 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.