CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Atrium Health Pineville

Billing Code: 90716 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$183

modeled fair price · typically $47–$208

modeled estimate · not a bill or quote

What this hospital charges insurers

$183

About the fair price

Fair price $183 This hospital $183 Cash price $280 Hospital's list price $561

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

One of the lower prices — 0 of 8 other NC hospitals charge more for the same procedure.

Cheapest $142 Priciest $183

Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.

A fair price for a Varicella (chickenpox) vaccine is about $183. Atrium Health Pineville charges insurers about $183, or about $280 in cash — about the fair price. Located in Charlotte, NC.

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	$38 - $410	—
Blue Cross Blue Shieldmajor	$77 - $266	—
Aetnamajor	$67 - $722	—
Cignamajor	$101 - $587	—
Ambetter (Centene)	$73 - $316	—
AmeriHealth	$26 - $88	—
Health Net	$112 - $384	—
WellCare	$26 - $90	—
+ 15 smaller / regional plans	$25 - $783

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 280), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: 90716.

Insurance Before you use insurance

Call your insurance company to confirm Atrium Health Pineville is in-network.
Ask your insurer whether prior approval is required for HCPCS code 90716.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Atrium Health Pineville

Compare: Varicella (chickenpox) vaccine at other NC hospitals

Insurance negotiated median for the same procedure, sorted lowest first.