CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Norton Sound Regional Hospital

Billing Code: 90716 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90716
  • Insurance Median: $145
  • Cash Discount Price: $82
  • vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Varicella (chickenpox) vaccine at Norton Sound Regional Hospital is $145. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1000 Greg Kruschek Avenue (P O Box 966), Nome, AK.
Cash / Self-Pay
$82

Average discount available for prompt cash payment at this facility.

Insurance Median
$145

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.

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
Blue Cross Blue Shield $145 N/A

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Greg Kruschek Avenue (P O Box 966), Nome, AK 99762
  • CMS Rating: No CMS Rating
  • Ownership Type: Tribal
  • Hospital Type: Critical Access Hospitals