CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Davis County Hospital

Billing Code: 90716 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$223

modeled fair price · typically $98–$387

modeled estimate · not a bill or quote

What this hospital charges insurers

$138

Below the fair price — a good deal

about $85 under the fair price

Fair price $223 This hospital $138 Cash price $380 Hospital's list price $380

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

A typical price — 5 charge more and 3 charge less, among the 9 IA hospitals compared.

Cheapest $89 Priciest $163

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

A fair price for a Varicella (chickenpox) vaccine is about $223. Davis County Hospital charges insurers about $138, or about $380 in cash — below the fair price — a good deal. Located in Bloomfield, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser Permanente

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
Blue Cross Blue Shieldmajor	$132 - $145	—
Aetnamajor	$190	—
Amerigroup	$209 - $237	—
Molina	$236	—
+ 9 smaller / regional plans	$205 - $361

Government programs also on file: Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 380), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: 90716.

Insurance Before you use insurance

Call your insurance company to confirm Davis County Hospital is in-network.
Ask your insurer whether prior approval is required for HCPCS code 90716.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Davis County Hospital

Compare: Varicella (chickenpox) vaccine at other IA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.