CMS Price Transparency Data

Pneumococcal vaccine

Facility: Inspira Medical Center Mullica Hill

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $93
Cash Discount Price: $178
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Inspira Medical Center Mullica Hill is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $178. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 501 West Front Street, Elmer, NJ.

Cash / Self-Pay

$178

Average discount available for prompt cash payment at this facility.

Insurance Median

$93

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	$5 - $208	N/A
Aetna	$6 - $323	N/A
Cigna	$6 - $88	N/A
Fidelis Care of Nj	$6 - $93	N/A
Wellpoint	$6 - $95	N/A
Oxford Health Plans	$13 - $208	N/A
Horizon Nj Health	$119	N/A
Amerihealth	$124	N/A
Blue Cross Blue Shield	$124 - $133	N/A
Braven Health	$133	N/A
Clover Health	$133	N/A
Horizon Nj Total Care	$133	N/A
Medicare (plans)	$133	N/A
Wellcare Dual Liberty	$133	N/A
Wellpoint Full Dual Advantage	$133	N/A
Healthspring	$137	N/A
Humana	$140	N/A
Jefferson Health Plan	$143	N/A
Ambetter / Centene	$274	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 $178.
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 Inspira Medical Center Mullica Hill 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.