CMS Price Transparency Data

Typhoid vaccine

Facility: CHI Health Plainview Hospital

Billing Code: 90675 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$704
about 2.2× the $315 Medicare rate · typically $310–$1,476
modeled estimate · not a bill or quote
Medicare pays $315 Fair price $704 Cash price $1,262 Hospital's list price $1,503

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $836 - $1,559 265%
Blue Cross Blue Shieldmajor $836 - $1,559 265%
Humanamajor $836 - $1,001 265%
Ambetter (Centene) $853 - $1,067 271%
Amerigroup $878 - $1,051 279%
Medica $836 - $1,576 265%
Molina $926 - $1,110 294%
+ 9 smaller / regional plans $836 - $2,223
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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

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Facility Profile & Credentials

  • Address: P O Box 489, 704 North Third St, Plainview, NE 68769
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals