Pneumococcal vaccine
Facility: Christus Southeast Texas- St Elizabeth
Billing Code: 90732 (HCPCS)
This hospital's typical commercial price is $515 compared to the $174 fair price benchmark.
4-Star CMS clinical quality rating paired with 2.96× fair market pricing.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $133 - $468 | — |
| Blue Cross Blue Shieldmajor | $457 - $670 | — |
| Aetnamajor | $375 - $1,077 | — |
| Cignamajor | $609 - $937 | — |
| Humanamajor | $227 | — |
| Amerigroup | $187 - $624 | — |
| Devoted Health | $780 | — |
| Health Net | $937 - $1,327 | — |
| Healthcare Highways | $702 | — |
| Molina | $468 | — |
| + 12 smaller / regional plans | $172 - $1,249 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Christus Southeast Texas- St Elizabeth
Compare: Pneumococcal vaccine at other TX hospitals
- Ward Memorial Hospital · Monahans $55
- Muenster Memorial Hospital · Muenster $60
- St Luke's Hospital at the Vintage · Houston $63
- Bellville Medical Center · Bellville $67
- St Luke's the Woodlands Hospital · The Woodlands $68
- Big Bend Regional Medical Center · Alpine $68
- CHI St Lukes Lakeside Hospital · The Woodlands $68
- Laredo Medical Center · Laredo $69
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Christus Southeast Texas- St Elizabeth (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $567
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $567).
Self-Pay Cash Rate ($515) Beats Your Bill
Christus Southeast Texas- St Elizabeth's published 45 CFR § 180 self-pay cash rate is $515 (vs. $200 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $174 Fair BaseRate ($101 Medicare)
Your bill ($1,561) is $1,387 above the denoised Fair BaseRate ($174) and 15.5× the $101 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.