CMS Price Transparency Data

Pneumococcal vaccine

Facility: Eastern Idaho Regional Medical Center

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $313
Cash Discount Price: $584
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Eastern Idaho Regional Medical Center is $313. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $584. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$584

Average discount available for prompt cash payment at this facility.

Insurance Median

$313

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
Molina	$115	N/A
Blue Cross Blue Shield	$115 - $555	N/A
Cigna	$148	N/A
Select Health	$177	N/A
Select Health Ichn Brightpath	$177 - $198	N/A
Select Health Idaho (Eirmc Only)	$186	N/A
Regence	$200	N/A
United	$220 - $338	N/A
Aetna	$230 - $285	N/A
Doug Andrus Distributing	$234	N/A
Pacificsource Health	$245 - $313	N/A
University of Utah	$245	N/A
Mountain Health Co-Op	$292 - $438	N/A
First Choice Health of Washington	$351	N/A
Moda	$364	N/A
Dmba	$376	N/A
Prime Health	$438 - $497	N/A
Geha PPO USA	$468	N/A
Multiplan	$491 - $526	N/A
Humana	$491	N/A
First Choice of the Midwest	$526	N/A
Interwest Health	$526	N/A
St. John's Health Network	$526	N/A
Coventry First Health	$532	N/A
Shashone-Bannock Tribal Health	$584	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 $584.
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 Eastern Idaho Regional 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.