CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Johnson Memorial Hospital

Billing Code: 90716 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$198
modeled fair price · typically $84–$341
modeled estimate · not a bill or quote
Fair price $198 Cash price $1,164 Hospital's list price $1,370

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.

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $345 - $1,079 —
Government programs also on file: Medicare.

Self-Pay How to get the cash price

Insurance Before you use insurance

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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: 1282 Walnut Street, Dawson, MN 56232
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals