CMS Price Transparency Data

Typhoid vaccine

Facility: Ira Davenport Memorial Hospital

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $529
Cash Discount Price: $910
vs. Medicare Baseline: 1.68x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at Ira Davenport Memorial Hospital is $529. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $910. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 1.68x the Medicare baseline. Located in 7571 State Route 54, Bath, NY.

Cash / Self-Pay

$910

Average discount available for prompt cash payment at this facility.

Insurance Median

$529

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: $910 (289%)

Insurance Median: $529 (168%)

Cash: $910 (289% of Medicare)

Ins. Median: $529 (168% 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.

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
Blue Cross Blue Shield	$67 - $2,760	21%
Humana	$314 - $819	100%
Tricare	$314	100%
Amerihealth Caritas McR Adv - All Plans	$317	101%
Fidelis	$336	107%
Empire	$392	124%
Aetna	$480 - $682	152%
Fidelis Care - Exchange - All Plans	$500	159%
Geisinger - All Plans	$529	168%
Mvp Health Plan - All Plans	$567	180%
Cigna	$567	180%
Independent Health - All Plans	$591	187%
UPMC - All Plans	$628	199%
Pomco Inc - All Plans	$655	208%
UnitedHealthcare	$682	216%
Emblem Health - All Plans	$801	254%
Martins Point - All Plans	$910	289%
Healthnow - All Plans	$2,996	950%

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 $910.
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 Ira Davenport 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.