CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Connecticut Childrens Medical Center

Billing Code: 90716 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90716
Insurance Median: $519
Cash Discount Price: $400
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Varicella (chickenpox) vaccine at Connecticut Childrens Medical Center is $519. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $400. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 282 Washington Street, Hartford, CT.

Cash / Self-Pay

$400

Average discount available for prompt cash payment at this facility.

Insurance Median

$519

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
Health Partners [110229]	$243 - $575	N/A
Great West Healthcare [100107]	$243 - $575	N/A
Tufts Health Plan [100114]	$243 - $575	N/A
Mvp Health Plan [100144]	$243 - $575	N/A
Cigna	$243 - $575	N/A
Golden Rule [100106]	$281 - $333	N/A
Harvard Pilgrim [1001134]	$281 - $486	N/A
Oxford [100103]	$281 - $333	N/A
UnitedHealthcare	$281 - $539	N/A
Unicare [100148]	$303 - $503	N/A
Wellpoint [100150]	$303 - $503	N/A
Blue Cross Blue Shield	$303 - $503	N/A
Aetna	$467 - $560	N/A
Multiplan [1001126]	$486 - $566	N/A
Yale Health Plan [100162]	$519 - $560	N/A
Nippon Life Ins Co of America [100112]	$519 - $560	N/A
Government Employees Hospital Assoc [100115]	$519 - $560	N/A
Humana	$519 - $560	N/A
1199 National Benefit Fund [100134]	$519 - $560	N/A
Meritain Health [100149]	$519 - $560	N/A
Connecticare [100105]	$539	N/A
Emblem Health Commercial [1001108]	$539	N/A
Medicaid / KanCare	$539	N/A
Cdphp/Comm [100199]	$566	N/A
Generic Multiplan [1001130]	$566	N/A
Ultrabenefits/Comm [100181]	$566	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 $400.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90716.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Connecticut Childrens Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90716.
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.