CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Lifecare Medical Center

Billing Code: 90716 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$203
modeled fair price · typically $83–$327
modeled estimate · not a bill or quote
Fair price $203 Cash price $401 Hospital's list price $456

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $191 —
Blue Cross Blue Shieldmajor $191 - $557 —
HealthPartners $456 —
Medica $191 - $443 —
Sanford Health Plan $433 —
UCare $228 - $501 —

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 715 Delmore Drive, Roseau, MN 56751
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals