CMS Price Transparency Data

Typhoid vaccine

Facility: Southcoast Hospitals Group

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $345
Cash Discount Price: $899
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at Southcoast Hospitals Group is $345. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $899. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 1.09x the Medicare baseline. Located in 363 Highland Avenue, Fall River, MA.

Cash / Self-Pay

$899

Average discount available for prompt cash payment at this facility.

Insurance Median

$345

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$315.22

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $315.22 (100%)

Cash / Self-Pay: $899 (285%)

Insurance Median: $345 (109%)

Cash: $899 (285% of Medicare)

Ins. Median: $345 (109% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $315.22 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

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
Wellsense Health Plan [1010202]	$92	29%
Tufts Health Public Plans [1010213]	$105 - $412	33%
Blue Cross Blue Shield	$312 - $856	99%
Aetna	$314 - $1,369	100%
Evercare [1010304]	$314	100%
Harvard Pilgrim [1010602]	$314	100%
Medicare (plans)	$314 - $443	100%
Tufts Senior Care Options [1010315]	$314	100%
UnitedHealthcare	$314 - $515	100%
Wellsense Health Plan Senior Care Options [1020208	$317	101%
Commonwealth Care Alliance [1080501]	$323 - $326	102%
Wellpoint [1000102]	$326	103%
Eternal Health [1010322]	$345	109%
Mass General Brigham Health Plan Commercial [10122	$350	111%
Wellsense Health Plan Clarity Connectorcare & Meta	$385	122%
Fallon [1000114]	$439	139%
Tufts [1010701]	$752	239%
Mass General Brigham Health Plan Connectorcare [10	$1,013	321%
Group Insurance Service Center [1013001]	$1,079	342%
Innovative Health Plan [1025001]	$1,079	342%
Priority Health [1015001]	$1,079	342%
Cigna	$1,144	363%
PHCS [1000125]	$1,169	371%
First Health [1000130]	$1,369	434%

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 $899.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90675.

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 90675.
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.