CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: Memorial Hospital and Health Care Center

Billing Code: 90700 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$34
modeled fair price · typically $23–$36
modeled estimate · not a bill or quote
Fair price $34 Cash price $1 Hospital's list price $3

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $34 —
Blue Cross Blue Shieldmajor $35 - $58 —
Aetnamajor $31 - $106 —
+ 5 smaller / regional plans $2 - $44

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 W 9Th St, Jasper, IN 47546
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals