CMS Price Transparency Data
Varicella (chickenpox) vaccine
Facility: Ira Davenport Memorial Hospital
Billing Code: 90716 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$196
modeled fair price · typically $61–$268
modeled estimate · not a bill or quote
Fair price $196 Cash price $154 Hospital's list price $154
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 |
|---|---|---|
| UnitedHealthcaremajor | $115 | — |
| Blue Cross Blue Shieldmajor | $67 - $467 | — |
| Aetnamajor | $115 | — |
| Cignamajor | $96 | — |
| Humanamajor | $139 | — |
| Fidelis Care | $85 | — |
| Geisinger | $90 | — |
| Independent Health | $100 | — |
| MVP Health Care | $96 | — |
| UPMC Health Plan | $106 | — |
| + 5 smaller / regional plans | $111 - $507 |
Self-Pay How to get the cash price
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Other Procedures at Ira Davenport Memorial Hospital
Compare: Varicella (chickenpox) vaccine at other NY hospitals
- Arnot Ogden Medical Center · Elmira $74
- St Charles Hospital · Port Jefferson $78
- Mercy Medical Center · Rockville Centre $78
- Good Samaritan Hospital Medical Center · West Islip $78
- Chsli St Joseph Hospital · Bethpage $78
- St Catherine of Siena Hospital · Smithtown $78
- St Francis Hospital - the Heart Center · Roslyn $84
- St Mary's Healthcare · Amsterdam $130
Insurance negotiated median for the same procedure, sorted lowest first.