CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Lakewood Health System

Billing Code: 90715 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$52
modeled fair price · typically $34–$122
modeled estimate · not a bill or quote
What this hospital charges insurers
$58
About the fair price
about $6 over the fair price
Fair price $52 This hospital $58 Cash price $126 Hospital's list price $203

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

Highest price of the 9 MN hospitals we have prices for — worth calling around.

Cheapest $20 Priciest $58

Black dot = this hospital, among the 9 MN hospitals with a price for this procedure. Full list below.

A fair price for a Tdap vaccine (tetanus, diphtheria, pertussis) is about $52. Lakewood Health System charges insurers about $58, or about $126 in cash — about the fair price. Located in Staples, MN.

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 $81 - $181 —
Blue Cross Blue Shieldmajor $39 - $81 —
Humanamajor $82 —
HealthPartners $191 —
Medica $81 - $182 —
UCare $84 - $93 —
+ 1 smaller / regional plan $193
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 49725 County Road 83, Staples, MN 56479
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals