CMS Price Transparency Data

Pneumococcal vaccine

Facility: East Adams Rural Hospital

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $166
Cash Discount Price: $140
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at East Adams Rural Hospital is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $140. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 903 South Adams, Ritzville, WA.

Cash / Self-Pay

$140

Average discount available for prompt cash payment at this facility.

Insurance Median

$166

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
Aetna	$138 - $197	N/A
Molina McAid	$148 - $182	N/A
Ambetter / Centene	$151 - $186	N/A
Coordinated Care McAid	$151 - $186	N/A
Amerigroup McAid-All Plans	$155 - $191	N/A
Premera First-All Plans	$156 - $192	N/A
Triwest Va-All Plans	$158 - $195	N/A
Molina McR Adv	$158 - $195	N/A
Asuris Nw Hlth McR Adv	$158 - $195	N/A
Molina Markeplace-All Other Plans	$158 - $195	N/A
Assured Hospice McR-All Plans	$158 - $195	N/A
UnitedHealthcare	$159 - $197	N/A
Asuris Nw Health-All Other Plans	$168 - $208	N/A
Asuris Indiv and Family	$168 - $208	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 $140.
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 East Adams Rural 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.