CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Southcoast Hospitals Group

Billing Code: 90716 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90716
Insurance Median: $412
Cash Discount Price: $387
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Varicella (chickenpox) vaccine at Southcoast Hospitals Group is $412. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $387. 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

$387

Average discount available for prompt cash payment at this facility.

Insurance Median

$412

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
Wellpoint [1000102]	$67	N/A
Wellsense Health Plan Clarity Connectorcare & Meta	$165	N/A
Mass General Brigham Health Plan Commercial [10122	$178	N/A
Medicare (plans)	$191	N/A
Harvard Pilgrim [1010602]	$196	N/A
Blue Cross Blue Shield	$219	N/A
Tufts [1010701]	$323	N/A
UnitedHealthcare	$387	N/A
Tufts Health Public Plans [1010213]	$412	N/A
Mass General Brigham Health Plan Connectorcare [10	$436	N/A
Group Insurance Service Center [1013001]	$464	N/A
Innovative Health Plan [1025001]	$464	N/A
Priority Health [1015001]	$464	N/A
PHCS [1000125]	$503	N/A
Cigna	$506	N/A
Aetna	$589	N/A
First Health [1000130]	$589	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 $387.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90716.

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 90716.
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.