CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Southern Hills Hospital and Medical Center

Billing Code: 90715 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90715
Insurance Median: $90
Cash Discount Price: $329
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at Southern Hills Hospital and Medical Center is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $329. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.

Cash / Self-Pay

$329

Average discount available for prompt cash payment at this facility.

Insurance Median

$90

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
Imperial Nv	$38 - $66	N/A
United	$39 - $96	N/A
Community Care Health	$39	N/A
Health Net	$39	N/A
Caresource	$39	N/A
Legacy Provider Network	$46	N/A
Corvel	$48 - $51	N/A
Olympus Medsave USA	$51 - $330	N/A
Aetna	$51 - $90	N/A
Sierra	$82 - $85	N/A
Cmn Global	$105 - $185	N/A
Evernorth	$126 - $220	N/A
Cigna	$129	N/A
Nv Health & Welfare Trust	$151 - $264	N/A
Multiplan	$158 - $321	N/A
Medcare International	$188 - $330	N/A
First Health	$201 - $352	N/A
Blue Cross Blue Shield	$251 - $440	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 $329.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90715.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Southern Hills Hospital and Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90715.
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.