CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Grandview Medical Center

Billing Code: 90656 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90656
Insurance Median: $42
Cash Discount Price: $23
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Flu vaccine (high dose) at Grandview Medical Center is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 3690 Grandview Parkway, Birmingham, AL.

Cash / Self-Pay

$23

Average discount available for prompt cash payment at this facility.

Insurance Median

$42

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
Node Clover Health McR Adv	$6	N/A
Aetna	$6	N/A
Node VA	$6	N/A
Cigna	$6	N/A
Node Devoted Health McR Adv	$6	N/A
Victory Health	$6	N/A
Hospice	$6	N/A
Humana	$6	N/A
UnitedHealthcare	$6 - $54	N/A
Node Wellcare McR Adv	$6	N/A
Viva Health	$6 - $66	N/A
Select Health	$6	N/A
Medicare (plans)	$6	N/A
Blue Advantage	$6	N/A
Ambetter / Centene	$9	N/A
Self Pay	$18 - $29	N/A
Tricare	$22	N/A
Node Champva	$23	N/A
Medicaid / KanCare	$23	N/A
Bp Health Advocate	$30	N/A
Ag Administrators	$42	N/A
Alamed	$42	N/A
Choicecare	$42	N/A
Drummond	$42	N/A
Blue Cross Blue Shield	$47	N/A
American Employee Alliance	$48	N/A
Healthspring	$54	N/A
Value Options	$60	N/A
Healthchoice	$60 - $72	N/A
First Health	$72 - $94	N/A
Multiplan	$74 - $84	N/A
Blue Bell Creameries	$84	N/A
Natl Comp Care	$90	N/A
USA PPO	$90	N/A
Coventry Work Comp Al	$94	N/A
Novanet	$97	N/A
Cal-Med	$102	N/A
Corvel	$102	N/A
Alabama Wc	$102	N/A
Associated Admin	$108	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 $23.
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 Grandview Medical Center 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.