CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Saint Joseph Regional Medical Center - Plymouth

Billing Code: 90656 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$35
modeled fair price · typically $28–$46
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
Above the fair price
about $11 over the fair price
Fair price $35 This hospital $46 Cash price $67 Hospital's list price $102

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

Highest price of the 9 IN hospitals we have prices for — worth calling around.

Cheapest $14 Priciest $46

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 $35. Saint Joseph Regional Medical Center - Plymouth charges insurers about $46, or about $67 in cash — above the fair price. Located in Plymouth, IN.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $35. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $20 - $37 —
Blue Cross Blue Shieldmajor $20 - $46 —
Aetnamajor $20 - $67 —
Cignamajor $74 —
AvMed $92 —
CareSource $20 —
Dean Health Plan $92 —
GEHA $37 —
Health Net $74 - $79 —
HealthPartners $74 —
Medical Mutual $67 —
Meridian $20 —
MVP Health Care $74 —
Paramount $92 —
Priority Health $74 —
+ 51 smaller / regional plans $20 - $102
Government programs also on file: Medicare, Medicaid.
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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1915 Lake Ave, Plymouth, IN 46563
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals