CMS Price Transparency Data

Typhoid vaccine

Facility: St Francis Hospital

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $442
Cash Discount Price: $693
vs. Medicare Baseline: 1.40x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at St Francis Hospital is $442. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $693. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 1.40x the Medicare baseline. Located in 7Th and Clayton Sts, Wilmington, DE.

Cash / Self-Pay

$693

Average discount available for prompt cash payment at this facility.

Insurance Median

$442

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$315.22

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $315.22 (100%)

Cash / Self-Pay: $693 (220%)

Insurance Median: $442 (140%)

Cash: $693 (220% of Medicare)

Ins. Median: $442 (140% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $315.22 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

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
Blue Cross Blue Shield	$112 - $495	36%
Cigna	$177 - $742	56%
Aetna	$186 - $780	59%
Meritain	$186 - $780	59%
Trustmark Small Business Benefits	$186 - $780	59%
Devon Health Services	$272 - $1,139	86%
Three Rivers Provider Network	$272 - $1,139	86%
Prime Health Services	$272 - $1,139	86%
Galaxy Health Network	$272 - $1,139	86%
Multiplan	$272 - $1,139	86%
Wc Corvel	$272 - $1,139	86%
UnitedHealthcare	$275 - $1,151	87%
Geha	$275 - $1,151	87%
Delaware First Health	$289 - $1,208	92%
Pace-Trinity Health	$313	99%
Saint Francis Life	$313	99%
Medicare (plans)	$328 - $335	104%
Blue Shield - De (Highmark) Medciare Advantage	$329	104%
Highmark Health Options Dual Plan	$329	104%
Medicaid / KanCare	$352	112%
Coventry	$384	122%
Amerihealth	$442	140%
Blue Shield - Ca	$495	157%
Blue Shield - Ny Highmark Northeastern	$495	157%
Blue Shield - Wa (Regence)	$495	157%
Blue Shield - Id (Regence)	$495	157%
Blue Care Network	$495	157%
Blue Shield - PA (Highmark)	$495	157%
Blue Shield - Ny Highmark Western	$495	157%
Blue Benefit Administrators of Massachusetts	$495	157%
Blue Distinction Transplant	$495	157%

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 $693.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90675.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Francis Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90675.
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.