CMS Price Transparency Data

Pneumococcal vaccine

Facility: Deaconess Henderson Hospital

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $78
Cash Discount Price: $28
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Deaconess Henderson Hospital is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.

Cash / Self-Pay

$28

Average discount available for prompt cash payment at this facility.

Insurance Median

$78

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
UnitedHealthcare	$16 - $220	N/A
Aetna	$16 - $156	N/A
Medicaid / KanCare	$16 - $133	N/A
Humana	$16 - $135	N/A
Mytru Advantage	$23 - $133	N/A
Ky Racing Health & Welfare Fund	$23 - $84	N/A
Self-Pay	$24 - $84	N/A
Alliance Coal	$39 - $184	N/A
Encircle/Encore Prime	$40 - $174	N/A
One Care	$40 - $46	N/A
Iu Health Plans	$41 - $156	N/A
Encircle/Encore Combined	$44 - $174	N/A
Center Care Narrow	$46 - $180	N/A
Hstechnology	$48 - $143	N/A
Claimdoc	$48 - $143	N/A
Center Care Open Access	$50 - $180	N/A
Cigna	$51 - $143	N/A
Amish and Mennonite of Western Ky	$55 - $155	N/A
Healthlink	$60 - $156	N/A
Coventry National Network	$64 - $191	N/A
Webster County Detention Center	$64 - $191	N/A
First Health Network (Coventry)	$68 - $156	N/A
Sagamore	$70 - $156	N/A
Phcs/Multiplan	$72 - $156	N/A
Henderson County Detention Center	$72 - $215	N/A
Blue Cross Blue Shield	$110 - $228	N/A
Caresource In	$123	N/A
Molina Healthcare of Ky	$133	N/A
Wellcare Ky	$133	N/A
Medicare (plans)	$133	N/A
Wellcare Il	$133	N/A
Molina Healthcare of Ky - Exchange	$133	N/A
Umwa	$133	N/A
Mhs McO	$133	N/A
Hopetrust	$143	N/A
Caresource in Marketplace	$174	N/A
Wellcare Ky Commercial Exchange	$174	N/A
Noncontracted	$214	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 $28.
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 Deaconess Henderson Hospital 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.