CMS Price Transparency Data

Pneumococcal vaccine

Facility: Ann & Robert H Lurie Childrens Hospital of Chicago

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $208
Cash Discount Price: $247
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Ann & Robert H Lurie Childrens Hospital of Chicago is $208. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $247. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 225 E Chicago Ave, Box 140, Chicago, IL.

Cash / Self-Pay

$247

Average discount available for prompt cash payment at this facility.

Insurance Median

$208

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
Medicare (plans)	$37 - $2,656	N/A
Blue Cross Blue Shield	$75 - $389	N/A
Mercycare Health	$81 - $180	N/A
Cigna	$92 - $346	N/A
Beacon Health Options	$109 - $243	N/A
La Rabida Childrens Hospital	$109 - $243	N/A
Aetna	$109 - $381	N/A
UnitedHealthcare	$126 - $135	N/A
Independent Physicians at Mercy	$131 - $292	N/A
Centegra	$131 - $292	N/A
Advanced Physicians Association IPA	$153 - $341	N/A
Presence Health Partners	$153 - $341	N/A
St. Francis	$153 - $341	N/A
Ui Health	$153 - $341	N/A
West Suburban Health Providers	$153 - $341	N/A
Imagine Health	$153 - $341	N/A
Methodist First Choice	$153 - $341	N/A
Health Plus	$153 - $341	N/A
Northwest Community Healthcare	$153 - $341	N/A
Shriners Hospital	$164 - $365	N/A
Swedish Covenant Physician Partners	$164 - $365	N/A
Health Alliance	$175 - $389	N/A
Magellan	$175 - $900	N/A
American Psych Systems	$175 - $389	N/A
Macneal Health	$175 - $389	N/A
Healthlink Inc.	$180 - $401	N/A
Principal Healthcare	$186 - $414	N/A
Hfn Inc	$186 - $438	N/A
Humana	$186 - $414	N/A
St. Elizabeth	$186 - $414	N/A
Cofinity	$186 - $414	N/A
Healthstar	$192 - $428	N/A
First Health	$192 - $428	N/A
Sagamore Health Network	$192 - $428	N/A
Preferred Health Network	$192 - $428	N/A
Security Health Plan	$197 - $438	N/A
Private Health Care System	$197 - $438	N/A
Beech Street	$197 - $438	N/A
Swedish American	$197 - $438	N/A
Employer's Coalition on Health	$197 - $438	N/A
Benchmark Health	$197 - $438	N/A
Wellmark/Healthnetwork	$201 - $448	N/A
Wea Insurance Group	$208 - $462	N/A
Health Smart	$208 - $462	N/A
National Provider Network	$208 - $462	N/A
Integrated Health Plan	$208 - $462	N/A
Multiplan	$208 - $462	N/A
Unicare	$3,678 - $8,500	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 $247.
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 Ann & Robert H Lurie Childrens Hospital of Chicago 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.