CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Shirley Ryan Abilitylab

Billing Code: 90656 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90656
Insurance Median: $300
Cash Discount Price: $257
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Flu vaccine (high dose) at Shirley Ryan Abilitylab is $300. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $257. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 355 E Erie St, Chicago, IL.

Cash / Self-Pay

$257

Average discount available for prompt cash payment at this facility.

Insurance Median

$300

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Uic Physician Group-Campuscare	$215	N/A
Hfn	$217 - $386	N/A
Corvel Corporation	$224	N/A
Coventry Workers Comp	$224	N/A
State of Illinois	$228	N/A
Personalcare Insurance of Il/Firsthealth Grp Corp/Coventryhealth and Life Insurance Co	$228 - $365	N/A
University of Chicago Practice Plan	$257 - $279	N/A
Affordable Health Care Concepts	$258	N/A
Multiplan	$279	N/A
Health Care Services Corporation DBA Managed Care Network Preferred	$292	N/A
Gallagher Benefit Administrators	$322	N/A
Unicare Life and Health Insurance	$335	N/A
Resurrection Health Care Preferred	$343	N/A
Private Healthcare Systems	$343	N/A
Uic Physician Group	$348	N/A
Cofinity Aka Ppom	$365	N/A
Health Payors Organization	$365	N/A
Healthnetwork	$378	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $257.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90656.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Shirley Ryan Abilitylab is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90656.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.