CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: CHI Oakes Hospital

Billing Code: 90715 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$77
modeled fair price · typically $41–$150
modeled estimate · not a bill or quote
Fair price $77 Cash price $100 Hospital's list price $192

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $140 - $159 —
Blue Cross Blue Shieldmajor $42 - $106 —
HealthPartners $182 —
Medica $86 - $184 —
Sanford Health Plan $182 —
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

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 1200 N 7Th St, Oakes, ND 58474
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals