CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Rush Memorial Hospital

Billing Code: 90716 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90716
Insurance Median: $194
Cash Discount Price: $217
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Varicella (chickenpox) vaccine at Rush Memorial Hospital is $194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $217. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1300 N Main St, Rushville, IN.

Cash / Self-Pay

$217

Average discount available for prompt cash payment at this facility.

Insurance Median

$194

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
Health Net	$85	N/A
My True Advantage - All Plans	$90	N/A
UnitedHealthcare	$90 - $232	N/A
Caresource McR Adv	$90	N/A
Aetna	$91 - $267	N/A
Humana	$91 - $267	N/A
Today's Option McR Adv-All Plans	$93	N/A
Blue Cross Blue Shield	$93 - $212	N/A
Viant Beech St McR Adv	$93	N/A
Caresource Marketplace-All Other Plans	$144	N/A
Phcs-All Plans	$232	N/A
Cigna	$232	N/A
Consumers Life Ins-All Plans	$261	N/A
Coventry/First Health-All Plans	$261	N/A
Sagamore-All Plans	$267	N/A
Siho-All Plans	$267	N/A
Multiplan-All Plans	$270	N/A
Community Health Alliance-All Plans	$273	N/A
Encore Health Services-All Plans	$284	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 $217.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90716.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Rush Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90716.
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.