CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: Deaconess Henderson Hospital

Billing Code: 90700 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90700
Insurance Median: $99
Cash Discount Price: $59
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a DTaP vaccine (diphtheria, tetanus, pertussis) at Deaconess Henderson Hospital is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.

Cash / Self-Pay

$59

Average discount available for prompt cash payment at this facility.

Insurance Median

$99

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
Ky Racing Health & Welfare Fund	$1 - $66	N/A
Self-Pay	$1 - $68	N/A
Claimdoc	$2 - $136	N/A
Amish and Mennonite of Western Ky	$2 - $156	N/A
Hopetrust	$2 - $38	N/A
Hstechnology	$2 - $136	N/A
Cigna	$2 - $145	N/A
Henderson County Detention Center	$3 - $203	N/A
Webster County Detention Center	$3 - $181	N/A
Coventry National Network	$3 - $181	N/A
Blue Cross Blue Shield	$17 - $53	N/A
Wellcare Il	$17	N/A
UnitedHealthcare	$23 - $57	N/A
Aetna	$23 - $219	N/A
Medicaid / KanCare	$23 - $45	N/A
Wellcare Ky	$23	N/A
Humana	$24 - $181	N/A
One Care	$44 - $112	N/A
Mytru Advantage	$57 - $66	N/A
Alliance Coal	$95 - $110	N/A
Encircle/Encore Prime	$98 - $122	N/A
Iu Health Plans	$100 - $116	N/A
Encircle/Encore Combined	$108 - $131	N/A
Center Care Narrow	$111 - $129	N/A
Center Care Open Access	$121 - $140	N/A
Healthlink	$146 - $170	N/A
First Health Network (Coventry)	$166 - $192	N/A
Sagamore	$172 - $199	N/A
Phcs/Multiplan	$176 - $203	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 $59.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Deaconess Henderson Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90700.
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.