CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Deaconess Henderson Hospital

Billing Code: 90715 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90715
Insurance Median: $90
Cash Discount Price: $68
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at Deaconess Henderson Hospital is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. 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

$68

Average discount available for prompt cash payment at this facility.

Insurance Median

$90

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 - $88	N/A
Self-Pay	$1 - $92	N/A
Claimdoc	$2 - $183	N/A
Amish and Mennonite of Western Ky	$2 - $210	N/A
Hstechnology	$2 - $183	N/A
Hopetrust	$2 - $53	N/A
Cigna	$2 - $195	N/A
Henderson County Detention Center	$3 - $274	N/A
Coventry National Network	$3 - $244	N/A
Webster County Detention Center	$3 - $244	N/A
Medicaid / KanCare	$36 - $61	N/A
Aetna	$36 - $296	N/A
Humana	$36 - $244	N/A
Wellcare Ky	$36 - $39	N/A
UnitedHealthcare	$36 - $63	N/A
Wellcare Il	$39	N/A
Umwa	$39	N/A
Mhs McO	$39	N/A
Blue Cross Blue Shield	$39 - $87	N/A
Molina Healthcare of Ky - Exchange	$39	N/A
Molina Healthcare of Ky	$39	N/A
Mytru Advantage	$39 - $88	N/A
Medicare (plans)	$39	N/A
Caresource In	$45	N/A
Encircle/Encore Prime	$50 - $165	N/A
Wellcare Ky Commercial Exchange	$50	N/A
Caresource in Marketplace	$50	N/A
Encircle/Encore Combined	$50 - $176	N/A
Sagamore	$51 - $268	N/A
Iu Health Plans	$51 - $156	N/A
First Health Network (Coventry)	$51 - $259	N/A
Healthlink	$51 - $229	N/A
Phcs/Multiplan	$51 - $274	N/A
Center Care Open Access	$52 - $189	N/A
Center Care Narrow	$52 - $174	N/A
Alliance Coal	$53 - $148	N/A
Noncontracted	$62	N/A
One Care	$109 - $152	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 $68.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90715.

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 90715.
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.