CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Lost Rivers Medical Center

Billing Code: 90656 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$20
modeled fair price · typically $15–$71
modeled estimate · not a bill or quote
Fair price $20 Cash price $4 Hospital's list price $5

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $5 —
Blue Cross Blue Shieldmajor $3 - $5 —
Aetnamajor $3 - $5 —
Cignamajor $5 —
Humanamajor $3 - $5 —
Molina $3 —
PacificSource $3 - $5 —
SelectHealth $3 —
+ 4 smaller / regional plans $3 - $5
Government programs also on file: 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

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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: 551 Highland Drive, Arco, ID 83213
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals