CMS Price Transparency Data

Typhoid vaccine

Facility: Frisbie Memorial Hospital

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $1,044
Cash Discount Price: $2,893
vs. Medicare Baseline: 3.31x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at Frisbie Memorial Hospital is $1,044. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,893. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 3.31x the Medicare baseline. Located in 11 Whitehall Road, Rochester, NH.

Cash / Self-Pay

$2,893

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,044

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$315.22

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $315.22 (100%)

Cash / Self-Pay: $2,893 (918%)

Insurance Median: $1,044 (331%)

Cash: $2,893 (918% of Medicare)

Ins. Median: $1,044 (331% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $315.22 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 331% of the Medicare baseline (a markup of 231%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

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

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Amerihealth Caritas	$226 - $251	72%
Humana	$308	98%
Martin's Point Health	$318	101%
Well Sense Health Plan	$335 - $372	106%
Blue Cross Blue Shield	$401 - $503	127%
Harvard Pilgrim	$728 - $1,233	231%
Maine Community Health	$783 - $1,471	248%
United	$941 - $1,835	299%
Tufts Health Plan	$941 - $1,741	299%
Cigna	$1,289	409%
Aetna	$1,585 - $1,759	503%
Evernorth	$2,194 - $2,434	696%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,893.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90675.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Frisbie Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90675.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.