CMS Price Transparency Data

Pneumococcal vaccine

Facility: Ochsner Stennis Memorial Hospital

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $436
Cash Discount Price: $493
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Ochsner Stennis Memorial Hospital is $436. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $493. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.

Cash / Self-Pay

$493

Average discount available for prompt cash payment at this facility.

Insurance Median

$436

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
Medicaid / KanCare	$133 - $140	N/A
UnitedHealthcare	$133 - $465	N/A
Prime Health Services PPO -Workers Comp	$168	N/A
Cor Vel	$171	N/A
Humana	$290 - $429	N/A
Cigna	$408 - $429	N/A
Medicare (plans)	$429 - $493	N/A
Ambetter / Centene	$433	N/A
Magnolia Health Plan – Wellcare By All Well of Mississippi	$433	N/A
Shared Health Mississippi	$451	N/A
Aetna	$465	N/A
Primewell Health Services Commercial Exchange Plan	$479	N/A
Primewell Health Services – Commercial	$479	N/A
Select Administrative Services Network	$501	N/A
Blue Cross Blue Shield	$509	N/A
Claritev D/B/A Multiplan/Phcs/American Life Care	$536 - $608	N/A
Zelis	$536	N/A
Prime Health Services PPO	$572	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 $493.
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 Ochsner Stennis Memorial 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.