CMS Price Transparency Data

Pneumococcal vaccine

Facility: Fishermen's Community Hospital

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $177
Cash Discount Price: $203
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Fishermen's Community Hospital is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $203. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 3301 Overseas Hwy, Marathon, FL.

Cash / Self-Pay

$203

Average discount available for prompt cash payment at this facility.

Insurance Median

$177

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
UnitedHealthcare	$16 - $312	N/A
Amerigroup	$16	N/A
Medicaid / KanCare	$16 - $17	N/A
Wellcare	$16	N/A
Vista	$17	N/A
Aetna	$17 - $239	N/A
Sunshine State	$17	N/A
Blue Cross Blue Shield	$52 - $312	N/A
Leon Medical	$66	N/A
Medica Health Plan	$66	N/A
Medicare (plans)	$66 - $88	N/A
Humana	$71	N/A
Avmed	$72 - $258	N/A
Cigna	$75 - $250	N/A
Non Contracted	$114	N/A
International	$203	N/A
Amerihealth	$234	N/A
Dimension Health Plan	$234 - $281	N/A
Affordable	$281	N/A
PHCS	$281	N/A
Quality Health	$281	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 $203.
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 Fishermen's Community 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.