CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Jefferson County Health Center

Billing Code: 90716 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$224
modeled fair price · typically $88–$399
modeled estimate · not a bill or quote
Fair price $224 Cash price $146 Hospital's list price $243

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $12 - $405 —
Blue Cross Blue Shieldmajor $436 —
Aetnamajor $17 - $405 —
Humanamajor $14 - $180 —
Amerigroup $14 - $180 —
Molina $14 - $450 —
+ 4 smaller / regional plans $14 - $369
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 2000 S Main, Fairfield, IA 52556
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals