CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Sunrise Hospital and Medical Center

Billing Code: 90716 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90716
Insurance Median: $183
Cash Discount Price: $906
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Varicella (chickenpox) vaccine at Sunrise Hospital and Medical Center is $183. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $906. 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

$906

Average discount available for prompt cash payment at this facility.

Insurance Median

$183

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	$47 - $199	N/A
Sierra	$64 - $495	N/A
Legacy Provider Network	$87	N/A
Corvel	$92 - $98	N/A
Comp-Med Workers Comp	$94	N/A
Olympus Medsave USA	$97 - $1,272	N/A
Select Health	$100 - $118	N/A
Aetna	$170 - $512	N/A
United	$174 - $495	N/A
Caresource	$179	N/A
Health Net	$185 - $194	N/A
Blue Cross Blue Shield	$192 - $1,696	N/A
Cigna	$195 - $488	N/A
Imperial Nv	$254	N/A
Cmn Global	$712	N/A
Nv Health & Welfare Trust	$1,018	N/A
Multiplan	$1,068 - $1,238	N/A
Medcare International	$1,272	N/A
First Health	$1,357	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 $906.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90716.

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 90716.
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.