CMS Price Transparency Data
Tdap vaccine (tetanus, diphtheria, pertussis)
Facility: Regional Medical Center
Billing Code: 90715 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90715
- Insurance Median: $455
- Cash Discount Price: $65
- vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at Regional Medical Center is $455. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 709 W Main Street, Manchester, IA.
Cash / Self-Pay
$65
Average discount available for prompt cash payment at this facility.
Insurance Median
$455
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
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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 |
|---|---|---|
| Wellmark | $39 | N/A |
| Medical Associates Health Plan - Tri | $870 | N/A |