CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Athur M Blank Hospital

Billing Code: 90716 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90716
Insurance Median: $1,110
Cash Discount Price: $1,620
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Varicella (chickenpox) vaccine at Athur M Blank Hospital is $1,110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,620. 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

$1,620

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,110

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
Peachstate [43]	$215	N/A
Caresource [61]	$215	N/A
Amerigroup [102]	$248	N/A
Cigna	$1,071	N/A
Blue Cross Blue Shield	$1,075 - $1,581	N/A
United [5]	$1,075	N/A
Ambetter / Centene	$1,085	N/A
Oscar [228]	$1,085	N/A
Aetna	$1,090	N/A
Caresource Marketplace Bronze/Silver/Gold [60]	$1,101	N/A
Kaiser [6]	$1,103	N/A
Sidecar Health [236]	$1,118	N/A
Direct Employer Agreements [72]	$1,134 - $1,377	N/A
Coventry [9]	$1,137	N/A
Northeast Georgia Heatlh System [808]	$1,215	N/A
Veracity Benefits [809]	$1,215	N/A
First Health [74]	$1,216	N/A
PHCS [93]	$1,377	N/A
Secure Health [340]	$1,377	N/A
Beech Street [71]	$1,458	N/A
Multiplan [92]	$1,588	N/A
Novanet [41]	$1,620	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 $1,620.
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 Athur M Blank Hospital 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.