CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Indiana University Health Jay, Inc.

Billing Code: 90656 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$23
modeled fair price · typically $17–$61
modeled estimate · not a bill or quote
Fair price $23 Cash price $7 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 $11 - $189 —
Blue Cross Blue Shieldmajor $6 - $189 —
Aetnamajor $11 - $54 —
Cignamajor $14 - $61 —
CareSource $37 - $189 —
Health Net $11 - $14 —
+ 8 smaller / regional plans $8 - $189
Excludes 1 rental-network / third-party entry (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: 500 W Votaw St, Portland, IN 47371
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals