CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Calais Community Hospital

Billing Code: 90715 (HCPCS)

No verified fair price for this procedure here

This hospital only published government or network rates for this billing code — not a standard commercial price — so we can’t show a verified fair-price comparison for it. What it charges each insurer is listed below; call the hospital’s billing office to confirm the actual charge.

modeled estimate · not a bill or quote

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $13 - $1,576 —
Blue Cross Blue Shieldmajor $13 - $1,455 —
Aetnamajor $52 - $1,576 —
Cignamajor $51 - $1,542 —
Humanamajor $27 - $807 —
Harvard Pilgrim $56 - $1,677 —
WellCare $27 - $807 —
+ 2 smaller / regional plans $35 - $1,650

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Facility Profile & Credentials

  • Address: 24 Hospital Lane, Calais, ME 04619
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals