CMS Price Transparency Data

Pneumococcal vaccine

Facility: Sunrise Hospital and Medical Center

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $133
Cash Discount Price: $668
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Sunrise Hospital and Medical Center is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $668. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.

Cash / Self-Pay

$668

Average discount available for prompt cash payment at this facility.

Insurance Median

$133

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
Humana	$17 - $133	N/A
Sierra	$39 - $287	N/A
Select Health	$60 - $71	N/A
Caresource	$115	N/A
Legacy Provider Network	$116	N/A
Corvel	$123 - $130	N/A
Comp-Med Workers Comp	$125	N/A
Olympus Medsave USA	$129 - $736	N/A
Healthcare Partners of Nv	$131	N/A
Cigna	$131 - $328	N/A
United	$132 - $287	N/A
Community Care Health	$133	N/A
Blue Cross Blue Shield	$133 - $140	N/A
Alignment Health Plan	$133	N/A
Aetna	$133 - $296	N/A
Health Net	$133	N/A
Caremore	$140	N/A
Hometown Health Providers	$153 - $234	N/A
Silver Summit	$167	N/A
Culinary Health Fund	$200	N/A
Cmn Global	$412	N/A
Nv Health & Welfare Trust	$589	N/A
Multiplan	$618 - $716	N/A
Medcare International	$736	N/A
First Health	$785	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 $668.
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 Sunrise Hospital and 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.