CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: Ochsner Stennis Memorial Hospital

Billing Code: 90700 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90700
Insurance Median: $45
Cash Discount Price: $52
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a DTaP vaccine (diphtheria, tetanus, pertussis) at Ochsner Stennis Memorial Hospital is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.

Cash / Self-Pay

$52

Average discount available for prompt cash payment at this facility.

Insurance Median

$45

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$21 - $30	N/A
Humana	$25 - $45	N/A
Zelis	$29 - $56	N/A
Cigna	$32 - $45	N/A
Cor Vel	$33	N/A
Prime Health Services PPO -Workers Comp	$33	N/A
UnitedHealthcare	$33 - $49	N/A
Aetna	$35 - $49	N/A
Claritev D/B/A Multiplan/Phcs/American Life Care	$42 - $56	N/A
Ambetter / Centene	$45	N/A
Magnolia Health Plan – Wellcare By All Well of Mississippi	$45	N/A
Medicare (plans)	$45 - $52	N/A
Shared Health Mississippi	$47	N/A
Primewell Health Services Commercial Exchange Plan	$50	N/A
Primewell Health Services – Commercial	$50	N/A
Select Administrative Services Network	$52	N/A
Prime Health Services PPO	$60	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $52.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Stennis Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90700.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.