CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Sunrise Hospital and Medical Center

Billing Code: 90656 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90656
Insurance Median: $23
Cash Discount Price: $99
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Flu vaccine (high dose) at Sunrise Hospital and Medical Center is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $99. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.

Cash / Self-Pay

$99

Average discount available for prompt cash payment at this facility.

Insurance Median

$23

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

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
Humana	$14 - $31	N/A
Aetna	$18 - $42	N/A
Caresource	$19	N/A
Cigna	$20 - $49	N/A
Sierra	$21 - $50	N/A
Blue Cross Blue Shield	$21 - $24	N/A
Healthcare Partners of Nv	$22	N/A
Health Net	$22	N/A
United	$22 - $50	N/A
Alignment Health Plan	$22	N/A
Community Care Health	$22	N/A
Caremore	$23	N/A
Hometown Health Providers	$26 - $39	N/A
Silver Summit	$28	N/A
Select Health	$32 - $38	N/A
Culinary Health Fund	$34	N/A
Legacy Provider Network	$34	N/A
Corvel	$35 - $36	N/A
Comp-Med Workers Comp	$37	N/A
Olympus Medsave USA	$37 - $104	N/A
Cmn Global	$58	N/A
Nv Health & Welfare Trust	$83	N/A
Multiplan	$88 - $101	N/A
Medcare International	$104	N/A
First Health	$111	N/A

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 $99.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90656.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sunrise Hospital and Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90656.
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.