CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Forrest City Medical Center

Billing Code: 90715 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$88
modeled fair price · typically $51–$292
modeled estimate · not a bill or quote
Fair price $88 Cash price $71 Hospital's list price $118

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $63 —
Aetnamajor $94 - $107 —
Cignamajor $61 - $62 —
Humanamajor $88 - $89 —
Ambetter (Centene) $170 - $172 —
+ 1 smaller / regional plan $59
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1601 Newcastle Road, Forrest City, AR 72335
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals