CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Craig Hospital

Billing Code: 90656 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90656
Insurance Median: $64
Cash Discount Price: $36
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Flu vaccine (high dose) at Craig Hospital is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 3425 S Clarkson St, Englewood, CO.

Cash / Self-Pay

$36

Average discount available for prompt cash payment at this facility.

Insurance Median

$64

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
Veterans Administration	$19	N/A
Cms	$22	N/A
UnitedHealthcare	$22 - $47	N/A
Cigna	$31	N/A
Geha/Ppo USA	$47 - $64	N/A
Kaiser	$49	N/A
Blue Cross Blue Shield	$50	N/A
Carisk Outcomes	$51	N/A
Zenith	$56	N/A
Aetna	$58	N/A
Corvel Worker's Comp	$60	N/A
Liberty Mutual Worker's Comp	$60	N/A
Paradigm	$60	N/A
Rocky Mountain Health Plan	$63	N/A
Midwest Employers Casualty	$63	N/A
Coventry/First Health	$64	N/A
Great-West Healthcare	$64	N/A
Fcci Worker's Comp	$64	N/A
Prime Health Services	$65	N/A
First Choice Health	$67	N/A
Multiplan/Phcs	$68	N/A
Provider Network of America	$69	N/A
Three Rivers Provider Network	$69 - $70	N/A
General Reinsurance	$69 - $73	N/A
Focus Worker's Comp	$69	N/A
Wyoming Worker's Comp	$69	N/A
Allstate	$73	N/A
Tricare	$73	N/A
Up & Up	$77	N/A
National Provider Network	$77	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 $36.
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 Craig 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.