CMS Price Transparency Data

Pneumococcal vaccine

Facility: Craig Hospital

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $240
Cash Discount Price: $133
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Craig Hospital is $240. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 3425 S Clarkson St, Englewood, CO.

Cash / Self-Pay

$133

Average discount available for prompt cash payment at this facility.

Insurance Median

$240

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
Cigna	$111 - $124	N/A
Veterans Administration	$113	N/A
UnitedHealthcare	$133 - $184	N/A
Cms	$133	N/A
Geha/Ppo USA	$167 - $254	N/A
Kaiser	$172 - $192	N/A
Blue Cross Blue Shield	$176 - $196	N/A
Carisk Outcomes	$182 - $204	N/A
Zenith	$198 - $221	N/A
Aetna	$207 - $231	N/A
Liberty Mutual Worker's Comp	$213 - $238	N/A
Paradigm	$213 - $238	N/A
Corvel Worker's Comp	$213 - $238	N/A
Rocky Mountain Health Plan	$222 - $248	N/A
Midwest Employers Casualty	$225 - $251	N/A
Great-West Healthcare	$228 - $254	N/A
Coventry/First Health	$228 - $254	N/A
Fcci Worker's Comp	$228 - $254	N/A
Prime Health Services	$231 - $258	N/A
First Choice Health	$237 - $265	N/A
Multiplan/Phcs	$240 - $268	N/A
Provider Network of America	$243 - $271	N/A
Three Rivers Provider Network	$243 - $278	N/A
General Reinsurance	$243 - $288	N/A
Wyoming Worker's Comp	$243 - $271	N/A
Focus Worker's Comp	$243 - $271	N/A
Tricare	$258 - $288	N/A
Allstate	$258 - $288	N/A
National Provider Network	$274 - $305	N/A
Up & Up	$274 - $305	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 $133.
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 Craig 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.