CMS Price Transparency Data

Pneumococcal vaccine

Facility: Mercy Regional Medical Center

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $903
Cash Discount Price: $271
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Mercy Regional Medical Center is $903. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $271. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 800 E Main, Ville Platte, LA.

Cash / Self-Pay

$271

Average discount available for prompt cash payment at this facility.

Insurance Median

$903

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
Medicaid / KanCare	$109 - $903	N/A
McD HMO La Hlth Cr Connct	$109	N/A
Aetna	$109	N/A
McD HMO La Care	$109	N/A
McD HMO Amerigroup	$109	N/A
UnitedHealthcare	$110	N/A
McD HMO Com Hlth Solution	$120	N/A
Charity/Map	$271 - $903	N/A
Ppo/Manged Care	$452 - $903	N/A
Pp0/Manged Care	$452 - $903	N/A
American Postal Workers	$722	N/A
Work Comp	$813	N/A
McR American Hlth Adv	$903	N/A
Mra Auto/Liability	$903	N/A
Commerical Ip	$903	N/A
Medicare (plans)	$903	N/A
Tricare	$903	N/A
Commerical	$903	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 $271.
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 Mercy 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.