CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Indiana University Health White Memorial Hospital

Billing Code: 90715 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$81
modeled fair price · typically $64–$140
modeled estimate · not a bill or quote
What this hospital charges insurers
$77
About the fair price
about $4 under the fair price
Fair price $81 This hospital $77 Cash price $135 Hospital's list price $434

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 $10 Priciest $77

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

A fair price for a Tdap vaccine (tetanus, diphtheria, pertussis) is about $81. Indiana University Health White Memorial Hospital charges insurers about $77, or about $135 in cash — about the fair price. Located in Monticello, IN.

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 $37 - $255 —
Blue Cross Blue Shieldmajor $37 - $77 —
Aetnamajor $92 - $258 —
Cignamajor $267 - $280 —
CareSource $37 —
Health Net $157 - $320 —
+ 9 smaller / regional plans $37 - $408
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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