CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Garden County Health Services

Billing Code: 90715 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90715
  • Insurance Median: $166
  • Cash Discount Price: $138
  • vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at Garden County Health Services is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $138. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1100 West 2Nd St, Oshkosh, NE.
Cash / Self-Pay
$138

Average discount available for prompt cash payment at this facility.

Insurance Median
$166

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

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Nebraska Total Care $42 - $169 N/A
UnitedHealthcare $52 - $210 N/A
Medica $58 - $236 N/A
Blue Cross Blue Shield $60 - $241 N/A
Midlands Choice $67 - $270 N/A
Aetna $67 - $273 N/A

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 West 2Nd St, Oshkosh, NE 69154
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals