CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: West Suburban Medical Center

Billing Code: 90716 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$302
modeled fair price · typically $162–$396
modeled estimate · not a bill or quote
Fair price $302 Cash price $82 Hospital's list price $241

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.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $36 - $154 —
Aetnamajor $157 - $280 —
Cignamajor $34 —
+ 1 smaller / regional plan $34

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3 Erie Court, Oak Park, IL 60302
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals