CMS Price Transparency Data
Tdap vaccine (tetanus, diphtheria, pertussis)
Facility: Montgomery County Memorial Hospital
Billing Code: 90715 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$71
modeled fair price · typically $39–$138
modeled estimate · not a bill or quote
Fair price $71 Cash price $53 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✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $88 | — |
| Blue Cross Blue Shieldmajor | $45 - $109 | — |
| Aetnamajor | $67 - $161 | — |
| Medica | $39 - $144 | — |
Self-Pay How to get the cash price
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Estimate your out-of-pocket cost
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Other Procedures at Montgomery County Memorial Hospital
Compare: Tdap vaccine (tetanus, diphtheria, pertussis) at other IA hospitals
- Hawarden Regional Healthcare · Hawarden $28
- Veterans Memorial Hospital · Waukon $31
- Wayne County Hospital · Corydon $31
- Davis County Hospital · Bloomfield $34
- Horn Memorial Hospital · Ida Grove $34
- St Anthony Regional Hospital & Nursing Home · Carroll $34
- Manning Regional Healthcare Center · Manning $35
- Iowa Specialty Hospital - Belmond · Belmond $37
Insurance negotiated median for the same procedure, sorted lowest first.