CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Indiana University Health White Memorial Hospital

Billing Code: 90656 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$23
modeled fair price · typically $20–$52
modeled estimate · not a bill or quote
Fair price $23 Cash price $5 Hospital's list price $16

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.

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 $9 - $189 —
Blue Cross Blue Shieldmajor $37 - $189 —
Aetnamajor $9 - $54 —
Cignamajor $10 —
CareSource $37 - $189 —
Health Net $6 - $11 —
+ 9 smaller / regional plans $8 - $189
Excludes 2 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.

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Facility Profile & Credentials

  • Address: 720 South Sixth St, Monticello, IN 47960
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals