CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Memorial Hospital Miramar

Billing Code: 90715 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90715
Insurance Median: $107
Cash Discount Price: $117
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at Memorial Hospital Miramar is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1901 Sw 172Nd Ave, Miramar, FL.

Cash / Self-Pay

$117

Average discount available for prompt cash payment at this facility.

Insurance Median

$107

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
Avmed	$24 - $107	N/A
Amerihealth Caritas	$26 - $75	N/A
UnitedHealthcare	$26 - $71	N/A
Community Care Plan	$28 - $75	N/A
Cigna	$28 - $104	N/A
Molina	$30 - $75	N/A
Aetna	$33 - $42	N/A
Employers Health Network	$53 - $131	N/A
Sunshine	$69 - $72	N/A
Emerging Therapy Solutions	$99 - $102	N/A
Global Medical Management	$107 - $111	N/A
Worldwide Managed Care Partners	$107 - $111	N/A
Allianz	$107 - $111	N/A
Global Health Claims	$107 - $145	N/A
Desjardins Financial Security Life Assurance Company	$107 - $111	N/A
Axis	$107 - $111	N/A
Star Healthcare Network	$107 - $111	N/A
Worldwide Medical Assurance	$107 - $111	N/A
National Healthcare Solutions	$107 - $111	N/A
Quebec Inc	$107 - $111	N/A
World Medical Care	$107 - $111	N/A
Quality Health Management	$107 - $111	N/A
Global Reach Health	$107 - $111	N/A
Plotkin	$107 - $111	N/A
Dimension Health	$111 - $115	N/A
Health Sun	$124 - $128	N/A
Gallagher Bassett	$132 - $172	N/A
First Health	$172	N/A
Employers Choice Network	$172	N/A
Prime Health Services	$172	N/A
Corvel	$172	N/A
Broward County	$718 - $2,726	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 $117.
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 Memorial Hospital Miramar 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.