CMS Price Transparency Data

Flu vaccine (high dose)

Facility: University of Alabama Hospital

Billing Code: 90656 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90656
Insurance Median: $117
Cash Discount Price: Unavailable
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Flu vaccine (high dose) at University of Alabama Hospital is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$117

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
UnitedHealthcare	$20 - $98	N/A
University of Alabama	$47 - $90	N/A
Viva	$57 - $108	N/A
Aetna	$58 - $110	N/A
Coventry	$61 - $146	N/A
North Alabama Managed Care	$61 - $118	N/A
Cigna	$63 - $138	N/A
Comp One	$68 - $130	N/A
Construction Claims Management	$71 - $135	N/A
Alamed	$71 - $136	N/A
Prime Health Services	$76 - $163	N/A
Tethys	$76 - $145	N/A
Evolutions	$76 - $163	N/A
Select Value Care	$76 - $145	N/A
Corvel	$76 - $145	N/A
Novanet	$76 - $163	N/A
Starcare	$76 - $145	N/A
Healthcare Alliance	$76 - $145	N/A
Multiplan	$77 - $148	N/A
Humana	$80 - $154	N/A
Department of Labor	$80 - $154	N/A
Vantage Health Plan	$80 - $154	N/A
Gulf Health Plans	$80 - $154	N/A
Geha	$80 - $154	N/A
Southern Nuclear	$80 - $154	N/A
Heritage Summit Health	$80 - $154	N/A
Preferred Health Partnership	$80 - $154	N/A
Mississippi Physicians	$80 - $154	N/A
National Provider Network	$85 - $163	N/A
North Mississippi Health Link	$85 - $163	N/A
Galaxy Health Network	$85 - $163	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 $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90656.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Alabama Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90656.
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.