CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Monadnock Community Hospital

Billing Code: 90716 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$303
modeled fair price · typically $182–$635
modeled estimate · not a bill or quote
Fair price $303 Cash price $108 Hospital's list price $180

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.

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $174 - $368 —
Harvard Pilgrim $347 - $448 —

Self-Pay How to get the cash price

Insurance Before you use insurance

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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: 452 Old Street Road, Peterborough, NH 03458
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals