CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Lakewood Health Center

Billing Code: 90715 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$44
modeled fair price · typically $36–$89
modeled estimate · not a bill or quote
Fair price $44 Cash price $108 Hospital's list price $164

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $119 - $159 —
Blue Cross Blue Shieldmajor $62 - $152 —
Humanamajor $109 - $129 —
HealthPartners $90 - $188 —
Medica $90 - $184 —
Sanford Health Plan $155 - $182 —
UCare $98 - $169 —
+ 1 smaller / regional plan $90 - $106

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 600 Main Ave S, Baudette, MN 56623
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals