CMS Price Transparency Data
Pneumococcal vaccine
Facility: Mercyone Oelwein Medical Center
Billing Code: 90732 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90732
- Insurance Median: $366
- Cash Discount Price: $407
- vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Pneumococcal vaccine at Mercyone Oelwein Medical Center is $366. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $407. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 201 Eighth Avenue Se, Oelwein, IA.
Cash / Self-Pay
$407
Average discount available for prompt cash payment at this facility.
Insurance Median
$366
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
N/A
Standard federal government reimbursement rate for this code.
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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 |
|---|---|---|
| Pre-Employment | $133 | N/A |
| Kaiser Domestic | $133 | N/A |
| Wc Domestic | $133 | N/A |
| Blue Shield - Wa (Regence) | $133 | N/A |
| Blue Shield - Id (Regence) | $133 | N/A |
| Bcn Domestic | $133 | N/A |
| Blue Shield - Ny Highmark Western | $133 | N/A |
| Blue Shield - Ny Highmark Northeastern | $133 | N/A |
| Blue Care Network | $133 | N/A |
| Blue Shield - Ca | $133 | N/A |
| Blue Distinction Transplant | $133 | N/A |
| Blue Cross Blue Shield | $133 - $226 | N/A |
| Blue Shield - PA (Highmark) | $133 | N/A |
| Blue Benefit Administrators of Massachusetts | $133 | N/A |
| Medicare (plans) | $152 - $237 | N/A |
| Iowa Total Care | $154 - $216 | N/A |
| Medicaid / KanCare | $157 - $220 | N/A |
| UnitedHealthcare | $173 - $480 | N/A |
| Aetna | $188 - $511 | N/A |
| Amish Hospital Aid | $217 - $303 | N/A |
| Centivo | $245 - $342 | N/A |
| Ambetter / Centene | $274 - $383 | N/A |
| Medical Associates | $293 - $409 | N/A |
| Health Choices | $293 - $409 | N/A |
| Nova | $328 - $458 | N/A |
| Claimdoc | $328 - $458 | N/A |
| Geha | $343 - $480 | N/A |
| 1199 National Benefit Fund | $366 - $511 | N/A |
| Allied Benefit Systems | $366 - $511 | N/A |
| Luminare Health | $366 - $511 | N/A |
| First Health | $366 - $511 | N/A |
| Trustmark Small Business Benefits | $366 - $511 | N/A |
| Lucent Health | $366 - $511 | N/A |
| Christian Brother Services | $366 - $511 | N/A |
| Coventry | $366 - $511 | N/A |
| Meritain | $366 - $511 | N/A |
| Medical Mutual | $366 - $511 | N/A |
| Webtpa | $366 - $511 | N/A |
| Asr Health Benefits | $366 - $511 | N/A |
| Health Partners | $383 - $535 | N/A |
| Multiplan | $386 - $539 | N/A |
| Auxiant | $390 - $545 | N/A |
| Midlands | $390 - $545 | N/A |
| Medica | $390 - $545 | N/A |
| Cigna | $390 - $545 | N/A |
| Midlands Choice | $390 - $545 | N/A |
| Iowa Dept of Public Health | $398 - $556 | N/A |
| Crime Victim Assistance | $398 - $556 | N/A |