CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Washington County Memorial Hospital

Billing Code: 90716 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$195
modeled fair price · typically $59–$369
modeled estimate · not a bill or quote
Fair price $195 Cash price $281 Hospital's list price $375

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 $206 - $1,987 —
Blue Cross Blue Shieldmajor $281 - $338 —
Cignamajor $308 —
Humanamajor $338 —
Ambetter (Centene) $154 —
+ 1 smaller / regional plan $281
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 300 Health Way, Potosi, MO 63664
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals