CMS Price Transparency Data
DTaP vaccine (diphtheria, tetanus, pertussis)
Facility: Pali Momi Medical Center
Billing Code: 90700 (HCPCS)
The BaseRate · fair price low confidence
A fair price for this
$31
modeled fair price · typically $6–$65
modeled estimate · not a bill or quote
Fair price $31 Cash price $45 Hospital's list price $75
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Aetna✓ Kaiser Permanente Blue Cross Blue ShieldCignaHumana
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $4 | — |
| Aetnamajor | $64 | — |
| Kaiser Permanentemajor | $60 | — |
| + 9 smaller / regional plans | $4 - $60 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Pali Momi Medical Center
Compare: DTaP vaccine (diphtheria, tetanus, pertussis) at other HI hospitals
- Wilcox Memorial Hospital · Lihue $18
- Kau Hospital · Pahala $18
- Samuel Mahelona Memorial Hospital · Kapaa $18
- Kohala Hospital · Kapaau $19
- Kuakini Medical Center · Honolulu $29
- Kona Community Hospital · Kealakekua $32
- Kapiolani Medical Center for Women & Children · Honolulu $32
- The Queens Medical Center · Honolulu $40
Insurance negotiated median for the same procedure, sorted lowest first.