CMS Price Transparency Data
Pneumococcal vaccine
Facility: CHI St Lukes Lakeside Hospital
Billing Code: 90732 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90732
- Insurance Median: $68
- Cash Discount Price: $96
- vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Pneumococcal vaccine at CHI St Lukes Lakeside Hospital is $68. 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 17400 St Lukes Way, The Woodlands, TX.
Cash / Self-Pay
$96
Average discount available for prompt cash payment at this facility.
Insurance Median
$68
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
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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 |
|---|---|---|
| Renaissance | $8 - $36 | N/A |
| Aetna | $11 - $147 | N/A |
| Amerivantage | $11 - $52 | N/A |
| Blue Cross Blue Shield | $11 - $381 | N/A |
| Cigna | $11 - $408 | N/A |
| Devoted | $11 - $54 | N/A |
| Humana | $11 - $299 | N/A |
| Kelsey | $11 - $51 | N/A |
| Scanhealth | $11 - $54 | N/A |
| Selectcare | $11 - $51 | N/A |
| UnitedHealthcare | $11 - $380 | N/A |
| Kindred | $12 - $56 | N/A |
| Kelseycare | $14 - $226 | N/A |
| Ambetter / Centene | $16 - $76 | N/A |
| Community Health Choice | $16 - $76 | N/A |
| Harris Health | $16 - $76 | N/A |
| Wellpoint | $16 - $76 | N/A |
| United | $25 - $287 | N/A |
| Bright Health | $32 - $289 | N/A |
| Tchpchip | $34 - $203 | N/A |
| Nx Health | $35 - $165 | 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 - $322 | 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 |