CMS Price Transparency Data

Pneumococcal vaccine

Facility: HCA Healthone Rose

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $400
Cash Discount Price: $771
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at HCA Healthone Rose is $400. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $771. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 4567 E 9Th Ave, Denver, CO.

Cash / Self-Pay

$771

Average discount available for prompt cash payment at this facility.

Insurance Median

$400

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
Vail Health	$117	N/A
Cigna	$142 - $493	N/A
Kaiser	$154 - $200	N/A
United	$160 - $400	N/A
Bright Health	$231	N/A
Colorado Program for Children With Special Needs	$347	N/A
Rocky Mountain Health Plan	$400	N/A
Western Plains Community Health	$501	N/A
Multiplan	$540 - $694	N/A
Northcare	$540	N/A
Physician Health Partners	$540	N/A
Blue Cross Blue Shield	$571	N/A
Pinnacol Workers Comp	$578	N/A
Medical Development International	$617	N/A
Rocky Mtn Planned Parenthood	$655	N/A
Prime Health	$694	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 $771.
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 HCA Healthone Rose 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.