CMS Price Transparency Data

Hepatitis B vaccine

Facility: Northern Louisiana Medical Center

Billing Code: 90744 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90744
Insurance Median: $166
Cash Discount Price: $91
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hepatitis B vaccine at Northern Louisiana Medical Center is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $91. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.

Cash / Self-Pay

$91

Average discount available for prompt cash payment at this facility.

Insurance Median

$166

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 (%)

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
UnitedHealthcare	$12 - $100	N/A
Medicaid / KanCare	$24 - $166	N/A
Blue Cross Blue Shield	$24 - $70	N/A
Aetna	$24 - $100	N/A
Humana	$26	N/A
Golden Rule Ins	$62 - $100	N/A
Verity Healthnet	$81	N/A
Cigna	$83	N/A
Kaiser Permanente	$83	N/A
Gilsbar	$91	N/A
Self Pay	$91	N/A
Geha	$133 - $158	N/A
First Health	$141	N/A
Multiplan	$141	N/A
PHCS	$141	N/A
Work Comp City of Ruston	$149	N/A
Work Comp First Health	$149	N/A
Work Comp Nlmc Emp	$149	N/A
Workers Compensation	$149	N/A
Aarp	$166	N/A
Specialty Hosp of Winnfie	$166	N/A
Apwu Health Plan	$166	N/A
McR American Hlth Adv	$166	N/A
Nalc Natl Assoc Ltr Carri	$166	N/A
Nalc Health Benefit Plan	$166	N/A
Physicians Mutual Ins	$166	N/A
Hospice of Caring Hearts	$166	N/A
Principal Mutual Life Ins	$166	N/A
Premier Hospice	$166	N/A
Gmp Employers Retiree Tru	$166	N/A
Ltu Student Ins Bollinger	$166	N/A
American Life Accident	$166	N/A
Union Fidelity Life Ins	$166	N/A
State Farm Insurance	$166	N/A
State Mutual Ins	$166	N/A
Union Bankers Insurance C	$166	N/A
Crime Victims Compensatio	$166	N/A
Ltu Athletics	$166	N/A
Newera	$166	N/A
Equitable	$166	N/A
Mva Insurance Payors	$166	N/A
Ima Insurance	$166	N/A
Lincoln Kidney Center	$166	N/A
Lifecare Specialty Hosp	$166	N/A
Nlmc Community Services	$166	N/A
Industrial Accounts	$166	N/A
Misc Commercial	$166	N/A
Healthfirst Tpa	$166	N/A
Fox Everett Inc	$166	N/A
Guarantee Trust Life Ins	$166	N/A
Bankers Life and Casualty	$166	N/A
Gsu Athletics	$166	N/A
Lin Parish Detention	$166	N/A
United American	$166	N/A
The Hartford	$166	N/A
Protective Life Ins	$166	N/A
Us Dept of Labor	$166	N/A
Liberty Healthshare	$166	N/A
Benefit Trust Life	$166	N/A
Sterling Investors Life	$166	N/A
Washington National Ins	$166	N/A
Ruston Regional Specialty	$166	N/A
Liberty Mutual Group	$166	N/A
Aflc American Family Life	$166	N/A
United Teachers Ins	$166	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 $91.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90744.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Northern Louisiana Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90744.
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.