CMS Price Transparency Data

Pneumococcal vaccine

Facility: Methodist Hospital Stone Oak

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $329
Cash Discount Price: $927
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Methodist Hospital Stone Oak is $329. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $927. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1139 E Sonterra Blvd,, San Antonio, TX.

Cash / Self-Pay

$927

Average discount available for prompt cash payment at this facility.

Insurance Median

$329

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
Superior Health	$36 - $57	N/A
Community First Health Plans	$87 - $136	N/A
Amerigroup	$101 - $159	N/A
Triwest Health Alliance	$133	N/A
Value Options	$133	N/A
United	$178 - $510	N/A
Blue Cross Blue Shield	$213 - $458	N/A
Cigna	$220 - $291	N/A
Superior	$267 - $419	N/A
Aetna	$361 - $566	N/A
National Choicecare	$361 - $566	N/A
Texas Healthcare Foundation Heb	$361 - $566	N/A
Tx Healthcare Foundation	$361 - $566	N/A
Healthsmart Preferred Care	$397 - $623	N/A
Independent Medical Systems	$397 - $623	N/A
Physician Cooperative of Texas	$397 - $623	N/A
Haa Preferred Partners	$433 - $679	N/A
Coastal Comp Health Networks	$469 - $736	N/A
National Healthcare Solutions	$469 - $736	N/A
Tml Intergovernmental Ebp	$505 - $793	N/A
Multiplan	$541 - $963	N/A
Triwest VA Pccc	$541 - $849	N/A
USA Managed Care	$541 - $849	N/A
Blue Bell	$577 - $906	N/A
Directcare America	$577 - $906	N/A
Managed Healthcare	$613 - $963	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 $927.
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 Methodist Hospital Stone Oak 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.