CMS Price Transparency Data
Tdap vaccine (tetanus, diphtheria, pertussis)
Facility: Essentia Health Moose Lake
Billing Code: 90715 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$41
modeled fair price · typically $40–$104
modeled estimate · not a bill or quote
Fair price $41 Cash price $84 Hospital's list price $113
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $52 - $106 | — |
| Blue Cross Blue Shieldmajor | $1 - $82 | — |
| Aetnamajor | $94 - $99 | — |
| Cignamajor | $86 - $93 | — |
| HealthPartners | $44 - $93 | — |
| Medica | $44 - $96 | — |
| Sanford Health Plan | $47 - $53 | — |
| Security Health Plan | $52 - $55 | — |
| UCare | $52 - $77 | — |
| + 11 smaller / regional plans | $1 - $90 |
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Essentia Health Moose Lake
Compare: Tdap vaccine (tetanus, diphtheria, pertussis) at other MN hospitals
- Essentia Health St Marys - Detroit Lakes · Detroit Lakes $20
- Park Nicollet Methodist Hospital · Saint Louis Park $29
- Lakeview Memorial Hospital · Stillwater $30
- North Memorial Health Hospital · Robbinsdale $32
- Maple Grove Hospital · Maple Grove $32
- Essentia Health St Joseph's Medical Center · Brainerd $38
- Meeker Memorial Hospital · Litchfield $38
- Gillette Childrens Specialty Hospital · Saint Paul $38
Insurance negotiated median for the same procedure, sorted lowest first.