CMS Price Transparency Data

Pneumococcal vaccine

Facility: Uva Health Haymarket Medical Center

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $123
Cash Discount Price: $108
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Uva Health Haymarket Medical Center is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 15225 Healthcote Boulevard, Haymarket, VA.

Cash / Self-Pay

$108

Average discount available for prompt cash payment at this facility.

Insurance Median

$123

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
Aetna	$32 - $206	N/A
Blue Cross Blue Shield	$40 - $271	N/A
Cigna	$40 - $292	N/A
Humana	$40 - $61	N/A
Medicare (plans)	$40 - $61	N/A
UnitedHealthcare	$40 - $271	N/A
VA Ccn [99926]	$40 - $61	N/A
VA Ccn [99927]	$40 - $61	N/A
Veterans Administration [99910]	$40 - $59	N/A
HMO Part B [10099]	$41 - $61	N/A
Beacon Health Options [40012]	$79 - $117	N/A
Commercial Contracted Hb Only [40056]	$83 - $123	N/A
Commercial Generic [40000]	$83 - $164	N/A
Commercial Contracted Tpa [40055]	$95 - $164	N/A
Umwa [40037]	$110 - $164	N/A
Geha [40009]	$118 - $220	N/A
Healthsmart [40013]	$118 - $176	N/A
Multiplan Generic [40035]	$120 - $205	N/A
Vhn Generic [40040]	$120 - $211	N/A
Sentara Behavioral Health [40052]	$123 - $168	N/A
Sentara [40021]	$123 - $196	N/A
First Health Generic [40033]	$129 - $192	N/A
Champva [50002]	$133	N/A
Tricare	$133	N/A
Gateway Health Alliance [40034]	$134 - $199	N/A
Onenet Workers Comp Generic [60010]	$138 - $205	N/A
Kaiser Permenente [40014]	$142 - $194	N/A
Carefirst [30007]	$208	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 $108.
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 Uva Health Haymarket Medical Center 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.