CMS Price Transparency Data

Typhoid vaccine

Facility: Orange City Area Health System

Billing Code: 90675 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$374

about 1.2× the $315 Medicare rate · typically $215–$790

modeled estimate · not a bill or quote

What this hospital charges insurers

$218

Below the fair price — a good deal

about $156 under the fair price · 0.7× Medicare

Medicare pays $315 Fair price $374 This hospital $218 Cash price $320 Hospital's list price $400

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Lowest price of the 9 IA hospitals we have prices for — a strong deal.

Cheapest $218 Priciest $292

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

A fair price for a Typhoid vaccine is about $374 (about 1.2× the $315 Medicare rate). Orange City Area Health System charges insurers about $218, or about $320 in cash — below the fair price — a good deal. Located in Orange City, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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
UnitedHealthcaremajor	$360	114%
Blue Cross Blue Shieldmajor	$208	66%
HealthPartners	$360	114%
Sanford Health Plan	$380	121%
+ 1 smaller / regional plan	$388

Excludes 2 rental-network / third-party entries (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 320), 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: 90675.

Insurance Before you use insurance

Call your insurance company to confirm Orange City Area Health System is in-network.
Ask your insurer whether prior approval is required for HCPCS code 90675.
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 Orange City Area Health System

Compare: Typhoid vaccine at other IA hospitals

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