CMS Price Transparency Data

Pneumococcal vaccine

Facility: University Medical Center of Princeton at Plainsboro

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $192
Cash Discount Price: $267
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at University Medical Center of Princeton at Plainsboro is $192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $267. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in One-Five Plainsboro Road, Plainsboro, NJ.

Cash / Self-Pay

$267

Average discount available for prompt cash payment at this facility.

Insurance Median

$192

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	$18 - $342	N/A
Charity Care	$18 - $32	N/A
Aetna	$18 - $454	N/A
Wellcare	$19 - $35	N/A
Blue Cross Blue Shield	$39 - $284	N/A
Preferred Health Care Eliance	$50 - $89	N/A
Horizon Behavioral Health	$72 - $128	N/A
Cigna	$72 - $342	N/A
Beacon Health Options	$96 - $171	N/A
Magnacare	$115 - $239	N/A
Princeton Theological Seminary	$125 - $222	N/A
Tricare	$133	N/A
Us Family Health Plan	$133	N/A
Horizon Nj Health	$133	N/A
Health Net	$134 - $239	N/A
Coventry	$134 - $239	N/A
UnitedHealthcare	$144 - $284	N/A
Amerihealth	$146	N/A
Intergroup	$154 - $274	N/A
Intergrated Health Plan	$154 - $274	N/A
Beech Street	$154 - $291	N/A
Penn Global Medicine Embassy Only	$154 - $274	N/A
VA Medical Center	$159 - $284	N/A
Medicare (plans)	$159 - $312	N/A
First Managed Care Option	$163 - $291	N/A
Devon Health Services	$163 - $291	N/A
Ie Shaffer	$163 - $291	N/A
Private Healthcare Systems	$163 - $291	N/A
Consumer Health Network	$163 - $291	N/A
Qualcare	$163 - $291	N/A
Tri-State	$163 - $291	N/A
Allied Trades	$163 - $291	N/A
Total Care Network	$163 - $291	N/A
Clover Health Plan	$169 - $301	N/A
Humana	$172 - $307	N/A
United Behavioral Health	$192 - $342	N/A
Commercial Other	$192 - $342	N/A
International Pfs	$192 - $342	N/A
Magellan	$192 - $342	N/A
Personnel Health Program	$192 - $342	N/A
Penn Behavioral Health Corporate Services	$192 - $342	N/A
Life St. Francis	$192 - $342	N/A
Concern Plus	$192 - $342	N/A
Nj Carpenters	$192 - $342	N/A
Managed Health Network	$192 - $342	N/A
Compsych	$192 - $342	N/A
Elap	$226 - $511	N/A
Claim Watcher	$287 - $511	N/A
Centivo	$287 - $511	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 $267.
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 University Medical Center of Princeton at Plainsboro 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.