CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 90715 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90715
Insurance Median: $158
Cash Discount Price: $348
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at HCA Florida Fort Walton-Destin Hospital is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $348. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$348

Average discount available for prompt cash payment at this facility.

Insurance Median

$158

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
Blue Cross Blue Shield	$17 - $90	N/A
Aetna	$24 - $104	N/A
Humana	$38	N/A
Simply	$54	N/A
United	$72 - $157	N/A
Molina Healthcare	$111	N/A
Corvel Corporation	$158	N/A
Prime Health	$162	N/A
Careworks (Rockport Community)	$167	N/A
Plotkin Health	$174	N/A
Prime Health Sheriff	$174	N/A
Avmed	$174	N/A
Evolutions Healthcare	$226 - $313	N/A
Naphcare	$226	N/A
Multiplan	$271 - $296	N/A
Evernorth	$278	N/A
PPO Next	$296	N/A
Novanet	$313	N/A
Beacon Health Options	$348	N/A
American Health Plan	$15,000	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 $348.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90715.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Fort Walton-Destin Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90715.
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.