CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Mat-Su Regional Medical Center

Billing Code: 90716 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90716
Insurance Median: $613
Cash Discount Price: $310
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Varicella (chickenpox) vaccine at Mat-Su Regional Medical Center is $613. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $310. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 2500 South Woodworth Loop, Palmer, AK.

Cash / Self-Pay

$310

Average discount available for prompt cash payment at this facility.

Insurance Median

$613

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 (%)

Input your details and click calculate to compare out-of-pocket costs.

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	$83	N/A
Tricare	$204	N/A
Node Champva	$204	N/A
Self Pay	$232 - $387	N/A
Ak Dept of Corrections	$426	N/A
Blue Cross Blue Shield	$435 - $473	N/A
Hccmca	$465	N/A
Aetna	$496	N/A
Multiplan PHCS	$589	N/A
Moda Assurance	$612	N/A
Cigna	$614	N/A
UnitedHealthcare	$659	N/A
Carlie Trans Grp	$659	N/A
First Choice Health	$697	N/A
Multiplan MPI	$705	N/A
Plan Vista Solutions	$721	N/A
One Health	$736	N/A
Multiplan Wc	$736	N/A
First Health Group	$744	N/A
Medical Control Network Solutions	$744	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 $310.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90716.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mat-Su Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90716.
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.