Flu vaccine (high dose)
Facility: Saint Joseph Regional Medical Center
Billing Code: 90656 (HCPCS)
This hospital's typical commercial price is $23 compared to the $22 fair price benchmark.
2-Star CMS clinical quality rating paired with 1.05× fair market pricing.
Highest price of the 9 IN hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.
A fair price for a Flu vaccine (high dose) is about $22. Saint Joseph Regional Medical Center charges insurers about $23, or about $56 in cash — about the fair price. Located in Mishawaka, IN.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
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 | $21 - $42 | — |
| Blue Cross Blue Shieldmajor | $21 - $46 | — |
| Aetnamajor | $21 - $67 | — |
| Cignamajor | $20 - $66 | — |
| Humanamajor | $21 - $23 | — |
| Kaiser Permanentemajor | $21 | — |
| Ambetter (Centene) | $21 | — |
| CareSource | $30 - $65 | — |
| Clover Health | $23 | — |
| GEHA | $24 - $37 | — |
| Health Net | $19 - $76 | — |
| HealthPartners | $21 - $66 | — |
| Medical Mutual | $67 | — |
| Meridian | $21 - $42 | — |
| Molina | $21 | — |
| MVP Health Care | $66 | — |
| Paramount | $21 | — |
| Presbyterian | $21 - $23 | — |
| Priority Health | $66 | — |
| Tufts Health Plan | $21 | — |
| WellMed | $23 | — |
| WellSense | $21 | — |
| + 367 smaller / regional plans | $19 - $125 |
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.
Other Procedures at Saint Joseph Regional Medical Center
Compare: Flu vaccine (high dose) at other IN hospitals
- Elkhart General Hospital · Elkhart $14
- The Women's Hospital · Newburgh $18
- Ascension St Vincent Kokomo · Kokomo $20
- Ascension St Vincent Anderson · Anderson $20
- Ascension St Vincent Evansville · Evansville $20
- St Vincent Heart Center · Carmel $20
- Ascension St Vincent Carmel · Carmel $20
- Ascension St Vincent Fishers · Fishers $20
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Saint Joseph Regional Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $27
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $27).
Self-Pay Cash Rate ($56) Beats Your Bill
Saint Joseph Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $56 (vs. $23 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $22 Fair BaseRate ($13 Medicare)
Your bill ($74) is $52 above the denoised Fair BaseRate ($22) and 5.7× the $13 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.