CMS Price Transparency Data

Pneumococcal vaccine

Facility: St Luke's Sugar Land Hospital

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $101
Cash Discount Price: $96
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at St Luke's Sugar Land Hospital is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1317 Lake Pointe Parkway, Sugar Land, TX.

Cash / Self-Pay

$96

Average discount available for prompt cash payment at this facility.

Insurance Median

$101

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
Humana	$15 - $299	N/A
Kelsey	$19 - $92	N/A
Aetna	$21 - $241	N/A
Renaissance	$24 - $113	N/A
United	$25 - $287	N/A
UnitedHealthcare	$26 - $380	N/A
Bright Health	$32 - $258	N/A
Blue Cross Blue Shield	$33 - $381	N/A
Cigna	$33 - $408	N/A
Selectcare	$33 - $157	N/A
Amerivantage	$34 - $161	N/A
Tchpchip	$34 - $198	N/A
Devoted	$35 - $168	N/A
Scanhealth	$35 - $168	N/A
Kindred	$36 - $172	N/A
Kelseycare	$44 - $226	N/A
Community Health Choice	$49 - $235	N/A
Superior Health Plan	$49 - $235	N/A
Wellpoint	$49 - $235	N/A
Chc	$53 - $253	N/A
Texastruechoice	$53 - $253	N/A
Independent Med System	$58 - $276	N/A
Coventry	$63 - $299	N/A
First Health	$63 - $299	N/A
Healthsmart	$68 - $332	N/A
Interlink	$68 - $322	N/A
PHCS	$68 - $322	N/A
PHCS Savility	$68 - $322	N/A
Multiplan	$72 - $345	N/A
USA Health Network	$82 - $391	N/A
Mhealth Network	$97 - $461	N/A
Nx Health	$107 - $509	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 $96.
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 St Luke's Sugar Land Hospital 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.