CMS Price Transparency Data

MMR vaccine (measles, mumps, rubella)

Facility: St Francis Hospital & Medical Center

Billing Code: 90707 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90707
Insurance Median: $90
Cash Discount Price: $156
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a MMR vaccine (measles, mumps, rubella) at St Francis Hospital & Medical Center is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $156. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT.

Cash / Self-Pay

$156

Average discount available for prompt cash payment at this facility.

Insurance Median

$90

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	$55 - $156	N/A
Medicare (plans)	$55 - $156	N/A
Unicare	$55	N/A
Wellpoint	$55	N/A
Multiplan	$70 - $190	N/A
Aetna	$90 - $123	N/A
Andrie Inc	$90	N/A
East Greenbush Central School District	$90	N/A
Genex Wc	$90	N/A
Healthsmart Workers Comp	$90	N/A
Jag Source	$90	N/A
New York State Insurance Fund	$90	N/A
Njm Insurance Group	$90	N/A
Rx Heatlhcomp	$90	N/A
Rx Restat	$90	N/A
Rx Saif Opdp Wc	$90	N/A
Rx Worker's Comp	$90	N/A
Wc Accident Fund	$90	N/A
Wc Ace	$90	N/A
Wc Acs Federal Employees	$90	N/A
Wc Acuity	$90	N/A
Wc Advantage	$90	N/A
Wc Aegis	$90	N/A
Wc Aig	$90	N/A
Wc Aims	$90	N/A
Wc Alaska National Ins	$90	N/A
Wc Align Network	$90	N/A
Wc Allied	$90	N/A
Wc Am Trust N America	$90	N/A
Wc American Claims Mgmt	$90	N/A
Wc Amerisure	$90	N/A
Wc Amtrust	$90	N/A
Wc Asu Risk Mgt	$90	N/A
Wc Benetech	$90	N/A
Wc Berkley Admin	$90	N/A
Wc Broadspire	$90	N/A
Wc Broward County	$90	N/A
Wc Bunch & Associates	$90	N/A
Wc California State Comp Ins	$90	N/A
Wc California State Ins Fund	$90	N/A
Wc Capitol Area Health Consortium	$90	N/A
Wc Ccmsi	$90	N/A
Wc Chartis	$90	N/A
Wc Chubb	$90	N/A
Wc Cirma	$90	N/A
Wc City of Albany	$90	N/A
Wc City of Sioux City	$90	N/A
Wc Claims Mgmt Inc	$90	N/A
Wc Cna	$90	N/A
Wc Comp One Admin C/O Manageability	$90	N/A
Wc Compone Admin	$90	N/A
Wc Ct Healthcare Trust	$90	N/A
Wc Donegal Insurance Group	$90	N/A
Wc Emc Insurance Company	$90	N/A
Wc Employee Mutual	$90	N/A
Wc Enablecomp	$90	N/A
Wc Encore Health Network	$90	N/A
Wc Erie	$90	N/A
Wc Esis	$90	N/A
Wc Evolutions	$90	N/A
Wc Fcci	$90	N/A
Wc Fed Ex	$90	N/A
Wc Federal Black Lung	$90	N/A
Wc Federated	$90	N/A
Wc Finley Occupational Health	$90	N/A
Wc First Agency/Occunet	$90	N/A
Wc Ford Motor	$90	N/A
Wc Fresno Unified Emp	$90	N/A
Wc Gallagher Bassett	$90	N/A
Wc General Motors	$90	N/A
Wc Generic	$90	N/A
Wc Genex Care for Ohio	$90	N/A
Wc Great West Casualty	$90	N/A
Wc Guarantee Insurance	$90	N/A
Wc Guard Insurance Company	$90	N/A
Wc Hab	$90	N/A
Wc Hartford	$90	N/A
Wc Hastings	$90	N/A
Wc Health Management	$90	N/A
Wc Heritage Summit	$90	N/A
Wc Hireright	$90	N/A
Wc Horizon	$90	N/A
Wc Icw Group	$90	N/A
Wc Idaho State Ins Fund	$90	N/A
Wc Intercare Insurance	$90	N/A
Wc Intermountain	$90	N/A
Wc Johns Eastern	$90	N/A
Wc Kemberton	$90	N/A
Wc Key Ins & Benefit Solutions	$90	N/A
Wc Liberty Mutual	$90	N/A
Wc Mac Risk Management	$90	N/A
Wc Massachusetts	$90	N/A
Wc Mdia	$90	N/A
Wc Meadowbrook Claim	$90	N/A
Wc Medical Administrators	$90	N/A
Wc Meijers	$90	N/A
Wc Memic	$90	N/A
Wc Mercy Workcare	$90	N/A
Wc Michigan	$90	N/A
Wc Michigan Millers Mutual	$90	N/A
Wc Mitchell Frankenmuth	$90	N/A
Wc Mra	$90	N/A
Wc Nationwide	$90	N/A
Wc Nca Comp	$90	N/A
Wc New York	$90	N/A
Wc New York Special Funds	$90	N/A
Wc North American Rishces	$90	N/A
Wc Northeast Health	$90	N/A
Wc Notre Dame	$90	N/A
Wc Novanet	$90	N/A
Wc O'Hara Corp	$90	N/A
Wc Occ Health Allen	$90	N/A
Wc Ohio Bureau	$90	N/A
Wc One Call Medical	$90	N/A
Wc Paradigm	$90	N/A
Wc Peerless	$90	N/A
Wc Pma	$90	N/A
Wc Praxis Health Network	$90	N/A
Wc Price Chopper	$90	N/A
Wc Procura Management	$90	N/A
Wc Qualcare	$90	N/A
Wc Quiktrip	$90	N/A
Wc Reny Company	$90	N/A
Wc Rev Claims	$90	N/A
Wc Risico	$90	N/A
Wc Rural Mutual	$90	N/A
Wc Saif Oregon	$90	N/A
Wc Secura	$90	N/A
Wc Sedgwick	$90	N/A
Wc Sentry	$90	N/A
Wc Sheakley Unicomp	$90	N/A
Wc Smile Lodge	$90	N/A
Wc Society	$90	N/A
Wc Srs	$90	N/A
Wc Taconic (Mro)	$90	N/A
Wc Taconic Farms	$90	N/A
Wc Travelers	$90	N/A
Wc Triad Group	$90	N/A
Wc Tristar	$90	N/A
Wc Troy Ny	$90	N/A
Wc Tyson	$90	N/A
Wc Unified Health Services	$90	N/A
Wc United Heartland	$90	N/A
Wc Us Dept of Labor	$90	N/A
Wc Velocity	$90	N/A
Wc Walmart	$90	N/A
Wc West Bend	$90	N/A
Wc West Bend Mutual/Argent	$90	N/A
Wc Winnebago Industries	$90	N/A
Wc Yankee Trails	$90	N/A
Wc York Risk	$90	N/A
Wc Zenith	$90	N/A
Wc Zurich	$90	N/A
Bcn Domestic	$94	N/A
Blue Benefit Administrators of Massachusetts	$94	N/A
Blue Care Network	$94	N/A
Blue Cross Blue Shield	$94	N/A
Blue Distinction Transplant	$94	N/A
Blue Shield - Ca	$94	N/A
Blue Shield - Id (Regence)	$94	N/A
Blue Shield - Ny Highmark Northeastern	$94	N/A
Blue Shield - Ny Highmark Western	$94	N/A
Blue Shield - PA (Highmark)	$94	N/A
Blue Shield - Wa (Regence)	$94	N/A
Claimdoc	$94	N/A
Health Choices	$94	N/A
Kaiser Domestic	$94	N/A
Mass General Brigham Health Plan	$94	N/A
Pre-Employment	$94	N/A
Wc Domestic	$94	N/A
UnitedHealthcare	$95 - $139	N/A
Tufts Health Plan	$97	N/A
Champva	$98	N/A
Humana	$98	N/A
Tricare	$98	N/A
Triwest Health Alliance	$98	N/A
Veterans Eval Services	$98	N/A
Coventry	$100	N/A
First Health	$100	N/A
Guardian	$100	N/A
Meritain	$100 - $123	N/A
Health New England	$101 - $156	N/A
Us Family Health Plan	$102	N/A
Connecticare	$114 - $144	N/A
Veterans Administration	$117	N/A
Allegiance	$120	N/A
Cigna	$120 - $224	N/A
Health Partners	$120	N/A
Magnacare	$120	N/A
Centivo	$122	N/A
1199 National Benefit Fund	$123	N/A
Allied Benefit Systems	$123	N/A
Gravie Admin Services	$123	N/A
Hap	$123	N/A
Luminare Health	$123	N/A
Nippon Life Ins	$123	N/A
Webtpa	$123	N/A
Prime Health Services	$125 - $196	N/A
Health Smart	$133 - $238	N/A
Wc Corvel	$133	N/A
Geha	$135 - $139	N/A
Harvard Pilgrim Healthcare	$135 - $156	N/A
Cca Senior Care Options	$156	N/A
Commonwealth Care Alliance	$156	N/A
Delta Dental Ga	$156	N/A
Delta Dental Mi	$156	N/A
Delta Dental Mo	$156	N/A
Delta Dental Nj	$156	N/A
Delta Dental Ny	$156	N/A
Delta Dental Oh	$156	N/A
Delta Dental Or	$156	N/A
Delta Dental PA	$156	N/A
Delta Dental VA	$156	N/A
Delta Dental Wa	$156	N/A
Liberty Dental	$156	N/A
Allied National Global Care	$185 - $190	N/A
Asrm - Reliance Standard Life Insurance	$185 - $190	N/A
Christian Care Ministry	$185 - $190	N/A
Dean Health	$185 - $190	N/A
Family Life Insurance Company	$185 - $190	N/A
Ghc Scw	$185 - $190	N/A
International Benefit Administrators	$185 - $190	N/A
Lifetime Benefit Solutions	$185 - $190	N/A
Manhattan Life	$185 - $190	N/A
Medi Share	$185 - $190	N/A
Mvp	$185 - $190	N/A
PHCS	$185 - $190	N/A
Pai	$185 - $190	N/A
Pan-American Life	$185 - $190	N/A
Paramount HMO	$185 - $190	N/A
Trinity Health Share	$185 - $190	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 $156.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90707.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Francis Hospital & Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90707.
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.