CMS Price Transparency Data

Pneumococcal vaccine

Facility: Astria Sunnyside Hospital

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $123
Cash Discount Price: $125
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Astria Sunnyside Hospital is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.

Cash / Self-Pay

$125

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 (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Medicare (plans)	$49 - $56	N/A
Humana	$54 - $198	N/A
Tricare	$54	N/A
Aetna	$54 - $194	N/A
VA	$54	N/A
Molina	$54	N/A
Healthcomp_Ihs	$54	N/A
Medicaid / KanCare	$54 - $67	N/A
Regence	$113	N/A
Cigna	$132	N/A
Li	$135	N/A
First_Choice	$165	N/A
Tpsc	$172	N/A
Kaiser	$173	N/A
Premera	$179	N/A
UnitedHealthcare	$187	N/A
Fhpw	$194	N/A
Healthcomp	$198	N/A
Zenith	$220	N/A
Great_Rivers	$220	N/A
Bcchp	$220	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 $125.
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 Astria Sunnyside 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.