CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Bob Wilson Memorial Hospital

Billing Code: 90715 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$66
modeled fair price · typically $49–$121
modeled estimate · not a bill or quote
What this hospital charges insurers
$64
About the fair price
about $2 under the fair price
Fair price $66 This hospital $64 Cash price $109 Hospital's list price $273

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

Highest price of the 9 KS hospitals we have prices for — worth calling around.

Cheapest $40 Priciest $64

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

A fair price for a Tdap vaccine (tetanus, diphtheria, pertussis) is about $66. Bob Wilson Memorial Hospital charges insurers about $64, or about $109 in cash — about the fair price. Located in Ulysses, KS.

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✓ Humana CignaKaiser 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 $81 - $452 —
Blue Cross Blue Shieldmajor $64 —
Aetnamajor $81 - $433 —
Humanamajor $81 - $173 —
HealthPartners $237 - $509 —
+ 3 smaller / regional plans $81 - $515
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 415 N Main Street, Ulysses, KS 67880
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals