CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: Thomas H Boyd Memorial Hospital

Billing Code: 90700 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$46
modeled fair price · typically $28–$109
modeled estimate · not a bill or quote
Fair price $46 Cash price $58 Hospital's list price $73

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 $37 - $38 —
Blue Cross Blue Shieldmajor $37 - $111 —
Aetnamajor $37 - $111 —
Cignamajor $52 —
Humanamajor $38 —
Ambetter (Centene) $48 —
HealthLink $55 —
Meridian $111 —
Molina $111 —
WellCare $37 —
+ 2 smaller / regional plans $37 - $45
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: 800 School St, Carrollton, IL 62016
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals