CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: Southcoast Hospitals Group

Billing Code: 90700 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90700
Insurance Median: $72
Cash Discount Price: $60
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a DTaP vaccine (diphtheria, tetanus, pertussis) at Southcoast Hospitals Group is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 363 Highland Avenue, Fall River, MA.

Cash / Self-Pay

$60

Average discount available for prompt cash payment at this facility.

Insurance Median

$72

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
Wellpoint [1000102]	$23	N/A
Wellsense Health Plan Clarity Connectorcare & Meta	$26	N/A
Mass General Brigham Health Plan Commercial [10122	$29	N/A
Medicare (plans)	$30	N/A
Tufts [1010701]	$50	N/A
UnitedHealthcare	$60	N/A
Mass General Brigham Health Plan Connectorcare [10	$68	N/A
Group Insurance Service Center [1013001]	$72	N/A
Innovative Health Plan [1025001]	$72	N/A
Priority Health [1015001]	$72	N/A
Cigna	$78	N/A
PHCS [1000125]	$78	N/A
Aetna	$91	N/A
First Health [1000130]	$91	N/A
Tufts Health Public Plans [1010213]	$412	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 $60.
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 Southcoast Hospitals Group 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.