CMS Price Transparency Data
Pneumococcal vaccine
Facility: St Luke's Hospital at the Vintage
Billing Code: 90732 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90732
- Insurance Median: $63
- Cash Discount Price: $96
- vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Pneumococcal vaccine at St Luke's Hospital at the Vintage is $63. 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 20171 Chasewood Park Drive, Houston, TX.
Cash / Self-Pay
$96
Average discount available for prompt cash payment at this facility.
Insurance Median
$63
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 | $6 - $30 | N/A |
| Aetna | $9 - $147 | N/A |
| Amerivantage | $9 - $43 | N/A |
| Blue Cross Blue Shield | $9 - $381 | N/A |
| Cigna | $9 - $408 | N/A |
| Devoted | $9 - $44 | N/A |
| Humana | $9 - $299 | N/A |
| Kelsey | $9 - $41 | N/A |
| Scanhealth | $9 - $44 | N/A |
| Selectcare | $9 - $41 | N/A |
| UnitedHealthcare | $9 - $380 | N/A |
| Kindred | $10 - $46 | N/A |
| Employer Direct | $12 - $58 | N/A |
| Kelseycare | $12 - $226 | N/A |
| Community Health Choice | $13 - $62 | N/A |
| Superior Health Plan | $13 - $62 | N/A |
| Wellpoint | $13 - $62 | N/A |
| United | $25 - $287 | N/A |
| Nx Health | $28 - $135 | N/A |
| Bright Health | $32 - $243 | N/A |
| Tchpchip | $34 - $198 | 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 |