CMS Price Transparency Data

Pneumococcal vaccine

Facility: Northeast Regional Medical Center

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $391
Cash Discount Price: $387
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Northeast Regional Medical Center is $391. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $387. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 315 S Osteopathy, Kirksville, MO.

Cash / Self-Pay

$387

Average discount available for prompt cash payment at this facility.

Insurance Median

$391

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
Tricare	$133	N/A
Node Champva	$133	N/A
Blue Access	$143	N/A
Blue Pathway/Pathway X	$143	N/A
Blue Prefrerred	$143	N/A
Medicare (plans)	$192	N/A
Node VA	$196	N/A
Node Hospice Non Par Agree	$196	N/A
Blue Cross Blue Shield	$196 - $298	N/A
UnitedHealthcare	$196 - $734	N/A
Node Devoted Health McR Adv	$201	N/A
Self Pay	$235 - $538	N/A
Centurion Correctional	$245	N/A
Cigna	$333 - $383	N/A
Home State Exchange	$352	N/A
Aetna	$364 - $816	N/A
Naphcare	$372	N/A
Immergrun	$391	N/A
Access Health Services, LLC	$636	N/A
Healthlink	$734 - $783	N/A
Multiplan	$734 - $783	N/A
Coventry Wc	$783	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 $387.
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 Northeast 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.