CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Alaska Regional Hospital

Billing Code: 90715 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90715
Insurance Median: $138
Cash Discount Price: $204
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at Alaska Regional Hospital is $138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $204. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 2801 Debarr Road, Anchorage, AK.

Cash / Self-Pay

$204

Average discount available for prompt cash payment at this facility.

Insurance Median

$138

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
Union Coalition	$54 - $68	N/A
Union Coalition Cement Masons	$56 - $70	N/A
Moda Health	$59 - $108	N/A
United	$68 - $174	N/A
Premerafirst	$91 - $114	N/A
Geha PPO USA	$95 - $202	N/A
Cigna	$100 - $125	N/A
Multiplan	$111 - $214	N/A
Coventry Healthcare	$116 - $145	N/A
First Health	$129 - $161	N/A
Risk & Benefit Management	$138 - $173	N/A
Bering Strait School District	$138 - $173	N/A
Nreca Group Benefit Trust	$138 - $173	N/A
Triwest Healthcare Alliance	$148 - $184	N/A
Matanuska Telephone	$148 - $184	N/A
Banner Health	$148 - $184	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 $204.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90715.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Alaska Regional Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90715.
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.