CMS Price Transparency Data

Pneumococcal vaccine

Facility: Texas Health Presbyterian Hospital Rockwall

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $237
Cash Discount Price: $253
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Texas Health Presbyterian Hospital Rockwall is $237. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $253. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 3150 Horizon Road, Rockwall, TX.

Cash / Self-Pay

$253

Average discount available for prompt cash payment at this facility.

Insurance Median

$237

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
Amerigroup	$40 - $140	N/A
Blue Cross Blue Shield	$40 - $1,092	N/A
Parkland	$40	N/A
UnitedHealthcare	$40 - $516	N/A
Superior Wellcare	$42 - $147	N/A
Molina	$44 - $140	N/A
American Health	$133	N/A
Healthspring	$136	N/A
Humana	$139	N/A
Aetna	$146 - $295	N/A
Fort Worth Firefighters	$185 - $257	N/A
City of Fort Worth	$198	N/A
Cigna	$233 - $397	N/A
Quick Trip	$253 - $266	N/A
PHCS	$293 - $314	N/A
Healthsmart	$316 - $354	N/A
Multiplan	$367	N/A
Galaxy	$371	N/A
USA	$371	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 $253.
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 Texas Health Presbyterian Hospital Rockwall 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.