CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: Boston Children's Hospital

Billing Code: 90700 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90700
Insurance Median: $119
Cash Discount Price: $81
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a DTaP vaccine (diphtheria, tetanus, pertussis) at Boston Children's Hospital is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 300 Longwood Avenue, Boston, MA.

Cash / Self-Pay

$81

Average discount available for prompt cash payment at this facility.

Insurance Median

$119

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
Blue Cross Blue Shield	$35 - $106	N/A
Cdphp	$79 - $137	N/A
Harvard Pilgrim	$82 - $109	N/A
United	$96 - $135	N/A
Aetna	$97 - $135	N/A
Mgb/Allways	$98 - $119	N/A
Tufts Public Plan	$99	N/A
United Ri Nj Ny	$101	N/A
Ambetter / Centene	$102	N/A
UnitedHealthcare	$105 - $137	N/A
Carelon Strategies/Bhs	$105	N/A
Carelon/Beacon	$121	N/A
Fallon	$123 - $124	N/A
Health New England	$130	N/A
Ets/Lifetrac	$137	N/A
Interlink Transplant	$137	N/A
Cigna	$137 - $145	N/A
Humana	$145	N/A
Community Health Options	$145	N/A
Multiplan/Phcs	$148 - $153	N/A
Coventry/Hcvm/First Health	$148	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 $81.
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 Boston Children's Hospital 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.