CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Pioneer Medical Center

Billing Code: 90656 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90656
Insurance Median: $33
Cash Discount Price: $28
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Flu vaccine (high dose) at Pioneer Medical Center is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 301 W 7Th Ave, Big Timber, MT.

Cash / Self-Pay

$28

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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
Healtnet Federal-All Plans	$16	N/A
Triwest VA Pccc-All Plans	$16	N/A
Humana	$16 - $32	N/A
Blue Cross Blue Shield	$16 - $29	N/A
Health Info Net McR Adv	$16	N/A
UnitedHealthcare	$16 - $33	N/A
Rocky Mountain Health Network-All Plans	$24	N/A
Allegiance Provider-All Plans	$30	N/A
Mountain Health Co-Op Hpn	$31	N/A
6 Degrees Health-All Plans	$33	N/A
Community Health Ntwk-All Plans	$33	N/A
Pacific Source-All Plans	$33	N/A
City of Billings-All Plans	$33	N/A
Three Rivers-All Plans	$33	N/A
Pacific Steel & Recycling-All Plans	$33	N/A
Interwest PPO	$33	N/A
Mountain Health Co-Op-All Other Plans	$33	N/A
Ebms Select Care Network-All Plans	$33	N/A
Fedmed Network-All Plans	$33	N/A
First Health-All Plans	$33	N/A
Americas Choice-All Plans	$33	N/A
First Choice Big Sky-All Plans	$33	N/A
Mountain Health Co-Op Ppo/Pos	$34	N/A
Health Info Net Peak/Equity	$34	N/A
Health Info Net Standard-All Other Plans	$34	N/A
Interwest Health Traditional-All Other Plans	$35	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 $28.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90656.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Pioneer Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90656.
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.