CMS Price Transparency Data

Pneumococcal vaccine

Facility: Crystal Clinic Orthopaedic Center

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $6,263
Cash Discount Price: $2,638
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Crystal Clinic Orthopaedic Center is $6,263. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,638. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 444 North Main Street, Akron, OH.

Cash / Self-Pay

$2,638

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,263

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
Aultcare - All Plans	$1,081 - $1,170	N/A
Health Oh Network - All Plans	$2,027 - $2,193	N/A
Ohio Health Choice - All Plans	$2,027 - $2,193	N/A
Med Mutual Nas	$2,108 - $2,281	N/A
Multiplan - All Plans	$2,230 - $2,412	N/A
Healthsmart - All Plans	$2,872 - $3,107	N/A
Bc Pathway	$4,224 - $4,569	N/A
Cigna	$5,684 - $6,148	N/A
Bc Ohi/Ohii	$5,800 - $6,274	N/A
Summacare Comm - All Other Plans	$6,251 - $6,762	N/A
Med Mutual Medflex	$6,326 - $6,843	N/A
Bc Preferred	$6,445 - $6,971	N/A
Bc Trad - All Other Plans	$6,445 - $6,971	N/A
Bc Blue Access	$6,445 - $6,971	N/A
UnitedHealthcare	$7,110 - $7,690	N/A
Med Mutual Aca	$7,195 - $7,783	N/A
Med Mutual Ppo/Pos/Hmo - All Other Plans	$7,907 - $8,553	N/A
Aetna	$8,010 - $8,664	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 $2,638.
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 Crystal Clinic Orthopaedic 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.