CMS Price Transparency Data
Tdap vaccine (tetanus, diphtheria, pertussis)
Facility: CHI St Alexius Health Devils Lake
Billing Code: 90715 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$82
modeled fair price · typically $41–$151
modeled estimate · not a bill or quote
Fair price $82 Cash price $81 Hospital's list price $192
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 - $102 | — |
| HealthPartners | $182 | — |
| Medica | $73 - $177 | — |
| Sanford Health Plan | $138 | — |
Self-Pay How to get the cash price
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Other Procedures at CHI St Alexius Health Devils Lake
Compare: Tdap vaccine (tetanus, diphtheria, pertussis) at other ND hospitals
- Altru Hospital · Grand Forks $39
- PAM Rehabilitation Hospital of Fargo · Fargo $39
- Essentia Health · Fargo $40
- Garrison Memorial Hospital · Garrison $48
- CHI St Alexius Health Turtle Lake · Turtle Lake $55
- CHI St Alexius Health · Bismarck $56
- CHI St Alexius Health Dickinson · Dickinson $95
- CHI St Alexius Health Williston · Williston $96
Insurance negotiated median for the same procedure, sorted lowest first.