CMS Price Transparency Data

Pneumococcal vaccine

Facility: Sky Ridge Medical Center

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $1,032
Cash Discount Price: $2,095
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Sky Ridge Medical Center is $1,032. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,095. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 10101 Ridgegate Pkwy, Lone Tree, CO.

Cash / Self-Pay

$2,095

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,032

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
United	$220 - $1,032	N/A
Vail Health	$288 - $349	N/A
Kaiser	$379 - $814	N/A
Rocky Mountain Health Plan	$400	N/A
Cigna	$444 - $1,468	N/A
Bright Health	$569 - $688	N/A
Western Plains Community Health	$1,233 - $1,491	N/A
Multiplan	$1,328 - $2,064	N/A
Physician Health Partners	$1,328 - $1,606	N/A
Northcare	$1,328 - $1,606	N/A
Blue Cross Blue Shield	$1,404 - $1,697	N/A
Pinnacol Workers Comp	$1,423 - $1,720	N/A
Medical Development International	$1,517 - $1,835	N/A
Prime Health	$1,707 - $2,064	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 $2,095.
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 Sky Ridge 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.