CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Athur M Blank Hospital

Billing Code: 90715 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90715
Insurance Median: $511
Cash Discount Price: $746
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at Athur M Blank Hospital is $511. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $746. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$746

Average discount available for prompt cash payment at this facility.

Insurance Median

$511

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
Peachstate [43]	$44	N/A
Caresource [61]	$44	N/A
Amerigroup [102]	$51	N/A
Cigna	$493	N/A
United [5]	$495	N/A
Blue Cross Blue Shield	$495 - $728	N/A
Ambetter / Centene	$499	N/A
Oscar [228]	$500	N/A
Aetna	$502	N/A
Caresource Marketplace Bronze/Silver/Gold [60]	$507	N/A
Kaiser [6]	$508	N/A
Sidecar Health [236]	$515	N/A
Direct Employer Agreements [72]	$522 - $634	N/A
Coventry [9]	$524	N/A
First Health [74]	$560	N/A
Veracity Benefits [809]	$560	N/A
Northeast Georgia Heatlh System [808]	$560	N/A
PHCS [93]	$634	N/A
Secure Health [340]	$634	N/A
Beech Street [71]	$671	N/A
Multiplan [92]	$731	N/A
Novanet [41]	$746	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 $746.
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 Athur M Blank 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.