CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: St Luke's Wood River Medical Center

Billing Code: 90715 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$64
modeled fair price · typically $45–$142
modeled estimate · not a bill or quote
What this hospital charges insurers
$45
Below the fair price — a good deal
about $19 under the fair price
Fair price $64 This hospital $45 Cash price $75 Hospital's list price $97

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

A typical price — 2 charge more and 5 charge less, among the 9 ID hospitals compared.

Cheapest $33 Priciest $47

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

A fair price for a Tdap vaccine (tetanus, diphtheria, pertussis) is about $64. St Luke's Wood River Medical Center charges insurers about $45, or about $75 in cash — below the fair price — a good deal. Located in Ketchum, ID.

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✓ Cigna HumanaKaiser 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 $45 - $107 —
Blue Cross Blue Shieldmajor $43 - $97 —
Aetnamajor $47 - $112 —
Cignamajor $45 - $110 —
GEHA $68 - $107 —
Moda Health $66 - $104 —
PacificSource $71 - $111 —
+ 2 smaller / regional plans $43 - $114
Government programs also on file: Medicare, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 100 Hospital Drive, Ketchum, ID 83340
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals