CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Grandview Medical Center

Billing Code: 90715 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90715
Insurance Median: $267
Cash Discount Price: $95
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at Grandview Medical Center is $267. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. 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

$95

Average discount available for prompt cash payment at this facility.

Insurance Median

$267

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	$40	N/A
Blue Cross Blue Shield	$47	N/A
Self Pay	$73 - $117	N/A
UnitedHealthcare	$73 - $219	N/A
Bp Health Advocate	$122	N/A
Aetna	$135	N/A
Viva Health	$146 - $267	N/A
Drummond	$170	N/A
Choicecare	$170	N/A
Alamed	$170	N/A
Ag Administrators	$170	N/A
American Employee Alliance	$194	N/A
Healthchoice	$243 - $292	N/A
Value Options	$243	N/A
First Health	$292 - $380	N/A
Multiplan	$296 - $340	N/A
Blue Bell Creameries	$340	N/A
USA PPO	$364	N/A
Natl Comp Care	$364	N/A
Coventry Work Comp Al	$380	N/A
Novanet	$392	N/A
Cal-Med	$413	N/A
Alabama Wc	$413	N/A
Corvel	$413	N/A
Associated Admin	$437	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 $95.
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 Grandview Medical Center 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.