CMS Price Transparency Data

Pneumococcal vaccine

Facility: Lovelace Women's Hospital

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $113
Cash Discount Price: $125
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Lovelace Women's Hospital is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 4701 Montgomery Boulevard Ne, Albuquerque, NM.

Cash / Self-Pay

$125

Average discount available for prompt cash payment at this facility.

Insurance Median

$113

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
Scan Health [7000]	$48	N/A
Total Community Care [2245]	$71	N/A
Medicare (plans)	$72 - $92	N/A
Pending County Rca [3910]	$75	N/A
Humana	$75 - $113	N/A
Blue Cross Blue Shield	$75 - $113	N/A
UnitedHealthcare	$78 - $113	N/A
Ihs Health Services [1535]	$92	N/A
Christus Health Plan [2330]	$92	N/A
Aetna	$92 - $113	N/A
Cigna	$92	N/A
Group Pension Admin [1450]	$103	N/A
Healthcare Highways [2210]	$113	N/A
Hooray Health [8000]	$113	N/A
Web Tpa [2115]	$113	N/A
Lucent Health [6000]	$113	N/A
Black Lung [6055]	$113	N/A
Oncology Patient Assistance Programs [2295]	$113	N/A
Mayo Clinic Health Solutions [2280]	$113	N/A
True Health New Mexico [2810]	$113	N/A
Caprock Health Plans [1200]	$113	N/A
Devoted Health Inc [7095]	$120	N/A
Molina Healthcare [1670]	$128	N/A
Corvel Corp [2235]	$167	N/A
Worker's Comp [2125]	$171	N/A
Enablecomp [1350]	$171	N/A
Imagine Health [6025]	$185	N/A
Healthscope Benefits [2290]	$185	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 $125.
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 Lovelace Women's 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.