CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: CHI Health Good Samaritan

Billing Code: 90715 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$68
modeled fair price · typically $38–$148
modeled estimate · not a bill or quote
What this hospital charges insurers
$63
About the fair price
about $5 under the fair price
Fair price $68 This hospital $63 Cash price $51 Hospital's list price $84

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

Highest price of the 9 NE hospitals we have prices for — worth calling around.

Cheapest $19 Priciest $63

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

A fair price for a Tdap vaccine (tetanus, diphtheria, pertussis) is about $68. CHI Health Good Samaritan charges insurers about $63, or about $51 in cash — about the fair price. Located in Kearney, NE.

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 $15 - $72 —
Blue Cross Blue Shieldmajor $33 - $43 —
Ambetter (Centene) $16 - $20 —
Medica $57 - $81 —
+ 2 smaller / regional plans $36 - $55
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: P O Box 1990, 10 East 31St St, Kearney, NE 68848
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals