CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: The Orthopaedic Hospital of Lutheran Health Networ

Billing Code: 90716 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$222

modeled fair price · typically $63–$292

modeled estimate · not a bill or quote

What this hospital charges insurers

$54

Below the fair price — a good deal

about $168 under the fair price

Fair price $222 This hospital $54 Cash price $43 Hospital's list price $160

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

Lowest price of the 9 IN hospitals we have prices for — a strong deal.

Cheapest $54 Priciest $163

Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.

A fair price for a Varicella (chickenpox) vaccine is about $222. The Orthopaedic Hospital of Lutheran Health Networ charges insurers about $54, or about $43 in cash — below the fair price — a good deal. Located in Ft Wayne, IN.

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✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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	$696 - $743	—
Aetnamajor	$54 - $731	—
Cignamajor	$49 - $1,507	—
Devoted Health	$42 - $452	—
+ 11 smaller / regional plans	$33 - $1,507

Government programs also on file: Military & VA.

Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 43), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: 90716.

Insurance Before you use insurance

Call your insurance company to confirm The Orthopaedic Hospital of Lutheran Health Networ is in-network.
Ask your insurer whether prior approval is required for HCPCS code 90716.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at The Orthopaedic Hospital of Lutheran Health Networ

Compare: Varicella (chickenpox) vaccine at other IN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.