CMS Price Transparency Data

Pneumococcal vaccine

Facility: Childrens Hospital of Wisconsin

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $205
Cash Discount Price: $145
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Childrens Hospital of Wisconsin is $205. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $145. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 9000 W Wisconsin Ave, Milwaukee, WI.

Cash / Self-Pay

$145

Average discount available for prompt cash payment at this facility.

Insurance Median

$205

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
Blue Cross Blue Shield	$27 - $253	N/A
Aetna	$30 - $237	N/A
Froedtert Health	$80 - $226	N/A
Medical College of Wisconsin	$80 - $186	N/A
Network Health Plan	$81 - $190	N/A
UnitedHealthcare	$84 - $287	N/A
Aspirus Health Plan	$85 - $200	N/A
Common Ground Healthcare Cooperative	$85 - $226	N/A
Trilogy Health Solutions	$85 - $226	N/A
Wps Health Plan	$86 - $240	N/A
Advocate Aurora Healthcare	$87 - $205	N/A
Centivo	$89 - $208	N/A
Employer Health Care Alliance Cooperative	$89 - $209	N/A
Health Partners	$89 - $234	N/A
Dean Health Plan	$91 - $213	N/A
Group Health Cooperative of Eau Claire	$91 - $213	N/A
Oan LLC	$91 - $213	N/A
Security Health Plan	$94 - $221	N/A
Health Payment Systems	$96 - $225	N/A
Praire States	$97 - $226	N/A
Quartz Health Insurance	$97 - $226	N/A
Sheboygan Employer's Health Network	$97 - $226	N/A
Mayo Clinic Health Solutions	$99 - $232	N/A
Bellin Thedacare	$102 - $240	N/A
Cigna	$102 - $240	N/A
Group Health Cooperative of South Central Wisconsin	$102 - $240	N/A
Prevea Health Network	$102 - $240	N/A
Multiplan	$103 - $253	N/A
Coventry Health Care	$108 - $253	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 $145.
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 Childrens Hospital of Wisconsin 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.