CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Northern Louisiana Medical Center

Billing Code: 90715 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90715
Insurance Median: $292
Cash Discount Price: $161
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at Northern Louisiana Medical Center is $292. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $161. 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

$161

Average discount available for prompt cash payment at this facility.

Insurance Median

$292

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
UnitedHealthcare	$22 - $175	N/A
Blue Cross Blue Shield	$42 - $87	N/A
Medicaid / KanCare	$42 - $292	N/A
Aetna	$42 - $175	N/A
Humana	$46	N/A
Golden Rule Ins	$109 - $175	N/A
Verity Healthnet	$143	N/A
Kaiser Permanente	$146	N/A
Cigna	$146	N/A
Gilsbar	$161	N/A
Self Pay	$161	N/A
Geha	$234 - $277	N/A
PHCS	$248	N/A
Multiplan	$248	N/A
First Health	$248	N/A
Work Comp First Health	$263	N/A
Work Comp City of Ruston	$263	N/A
Workers Compensation	$263	N/A
Work Comp Nlmc Emp	$263	N/A
Ruston Regional Specialty	$292	N/A
Ltu Student Ins Bollinger	$292	N/A
Union Bankers Insurance C	$292	N/A
Misc Commercial	$292	N/A
Crime Victims Compensatio	$292	N/A
Gsu Athletics	$292	N/A
Ltu Athletics	$292	N/A
Physicians Mutual Ins	$292	N/A
Liberty Healthshare	$292	N/A
Gmp Employers Retiree Tru	$292	N/A
Premier Hospice	$292	N/A
McR American Hlth Adv	$292	N/A
Lin Parish Detention	$292	N/A
Nalc Health Benefit Plan	$292	N/A
State Farm Insurance	$292	N/A
Ima Insurance	$292	N/A
Guarantee Trust Life Ins	$292	N/A
State Mutual Ins	$292	N/A
Specialty Hosp of Winnfie	$292	N/A
Washington National Ins	$292	N/A
Industrial Accounts	$292	N/A
Bankers Life and Casualty	$292	N/A
Lifecare Specialty Hosp	$292	N/A
Apwu Health Plan	$292	N/A
American Life Accident	$292	N/A
Nlmc Community Services	$292	N/A
Aflc American Family Life	$292	N/A
United American	$292	N/A
Healthfirst Tpa	$292	N/A
Protective Life Ins	$292	N/A
Sterling Investors Life	$292	N/A
The Hartford	$292	N/A
Liberty Mutual Group	$292	N/A
Mva Insurance Payors	$292	N/A
Lincoln Kidney Center	$292	N/A
Union Fidelity Life Ins	$292	N/A
Nalc Natl Assoc Ltr Carri	$292	N/A
United Teachers Ins	$292	N/A
Principal Mutual Life Ins	$292	N/A
Fox Everett Inc	$292	N/A
Equitable	$292	N/A
Us Dept of Labor	$292	N/A
Newera	$292	N/A
Aarp	$292	N/A
Benefit Trust Life	$292	N/A
Hospice of Caring Hearts	$292	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 $161.
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 Northern Louisiana Medical Center 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.