CMS Price Transparency Data

Pneumococcal vaccine

Facility: Gadsden Regional Medical Center

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $53
Cash Discount Price: $36
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Gadsden Regional Medical Center is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1007 Goodyear Avenue, Gadsden, AL.

Cash / Self-Pay

$36

Average discount available for prompt cash payment at this facility.

Insurance Median

$53

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
Node Viva McR Adv	$14	N/A
Node VA	$14	N/A
Medicare (plans)	$14 - $52	N/A
UnitedHealthcare	$14 - $141	N/A
Southern Care Hospice	$14	N/A
Node Select Health McR Adv	$14	N/A
Cigna	$14 - $53	N/A
Humana	$14	N/A
Node Non Par Hospice Agree	$14	N/A
Blue Cross Blue Shield	$14	N/A
Node Devoted Health McR Adv	$14	N/A
Gadsden Hospice	$14	N/A
Amedisys Hospice	$14	N/A
Prime Health	$15 - $173	N/A
Node Wellcare McR Adv	$15	N/A
Node Clover Health McR Adv	$15	N/A
Aetna	$15	N/A
Node Eon McR Adv	$15	N/A
Ambetter / Centene	$22	N/A
Self Pay	$29 - $43	N/A
American Employee Alliance	$96	N/A
Tricare	$127	N/A
Medicaid / KanCare	$133	N/A
Node Champva	$133	N/A
Multiplan	$137 - $151	N/A
Magellan Behavioral	$144	N/A
Viva Healthcare	$144	N/A
First Health	$168 - $194	N/A
Beech Street	$175	N/A
Alamed Wc	$180	N/A
Focus Health	$184	N/A
Coventry Work Comp Al	$188	N/A
Work Comp	$204	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 $36.
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 Gadsden Regional 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.