CMS Price Transparency Data

Pneumococcal vaccine

Facility: Riverview Medical Center

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $167
Cash Discount Price: Unavailable
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Riverview Medical Center is $167. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in One Riverview Plaza, Red Bank, NJ.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$167

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
Clover	$34 - $103	N/A
Aetna	$39 - $446	N/A
Blue Cross Blue Shield	$41 - $124	N/A
Amerihealth	$54 - $181	N/A
Wellcare	$84 - $257	N/A
Cigna	$93 - $456	N/A
Amerigroup	$94 - $285	N/A
Seoul Medical Group	$94 - $285	N/A
Qualcare	$96 - $294	N/A
UnitedHealthcare	$110 - $336	N/A
Bergen Risk	$112 - $342	N/A
Horizon	$113 - $460	N/A
Activecare First McO	$159 - $485	N/A
Multiplan - PHCS	$159 - $485	N/A
Brighton Health Plan	$168 - $513	N/A
Karna	$174	N/A
Oxford	$287	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 $X.
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 Riverview 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.