CMS Price Transparency Data

Pneumococcal vaccine

Facility: Ennis Regional Medical Center

Billing Code: 90732 (HCPCS)

The BaseRate · fair price low confidence

A fair price for this

$145

modeled fair price · typically $74–$619

modeled estimate · not a bill or quote

What this hospital charges insurers

$133

About the fair price

about $12 under the fair price

Fair price $145 This hospital $133 Cash price $328 Hospital's list price $1,312

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $63 Priciest $133

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Pneumococcal vaccine is about $145. Ennis Regional Medical Center charges insurers about $133, or about $328 in cash — about the fair price. Located in Ennis, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser Permanente

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	—

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 328), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: 90732.

Insurance Before you use insurance

Call your insurance company to confirm Ennis Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for HCPCS code 90732.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

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Other Procedures at Ennis Regional Medical Center

Compare: Pneumococcal vaccine at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.