DTaP vaccine (diphtheria, tetanus, pertussis)
Facility: Mount Carmel St Ann's
Billing Code: 90700 (HCPCS)
This hospital's typical commercial price is $32 compared to the $48 fair price benchmark.
3-Star CMS clinical quality rating paired with 0.67× fair market pricing.
Highest price of the 9 OH hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.
A fair price for a DTaP vaccine (diphtheria, tetanus, pertussis) is about $48. Mount Carmel St Ann's charges insurers about $32, or about $55 in cash — below the fair price — a good deal. Located in Westerville, OH.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
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 | $43 - $53 | — |
| Blue Cross Blue Shieldmajor | $53 - $88 | — |
| Aetnamajor | $38 - $88 | — |
| Cignamajor | $48 - $53 | — |
| Humanamajor | $32 - $88 | — |
| Kaiser Permanentemajor | $53 | — |
| Ambetter (Centene) | $53 | — |
| AmeriHealth | $40 - $53 | — |
| AvMed | $53 | — |
| Bright Health | $53 | — |
| CareSource | $53 - $64 | — |
| Clover Health | $53 | — |
| Dean Health Plan | $53 | — |
| Fidelis Care | $53 | — |
| Friday Health | $53 | — |
| GEHA | $38 - $53 | — |
| Geisinger | $53 | — |
| Harvard Pilgrim | $53 | — |
| Health Net | $53 | — |
| HealthLink | $53 - $66 | — |
| HealthPartners | $48 - $53 | — |
| Independent Health | $53 | — |
| MagnaCare | $40 - $53 | — |
| Medica | $53 | — |
| Medical Mutual | $53 - $69 | — |
| Meridian | $53 | — |
| Moda Health | $53 | — |
| Molina | $53 | — |
| MVP Health Care | $48 - $53 | — |
| Oscar Health | $53 | — |
| PacificSource | $53 | — |
| Paramount | $45 - $53 | — |
| Presbyterian | $53 | — |
| Priority Health | $48 - $53 | — |
| Providence Health Plan | $53 | — |
| Sanford Health Plan | $53 | — |
| Security Health Plan | $53 | — |
| SelectHealth | $53 | — |
| Sentara | $53 - $88 | — |
| Tufts Health Plan | $53 | — |
| UCare | $53 | — |
| UniCare | $40 - $53 | — |
| UPMC Health Plan | $53 | — |
| WellCare | $53 | — |
| WellMed | $53 | — |
| WellSense | $53 | — |
| + 1049 smaller / regional plans | $32 - $632 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Mount Carmel St Ann's
Compare: DTaP vaccine (diphtheria, tetanus, pertussis) at other OH hospitals
- Wooster Community Hospital · Wooster $7
- Akron General Medical Center · Akron $9
- Fairview Hospital · Cleveland $9
- Lutheran Hospital · Cleveland $9
- Medina Hospital · Medina $9
- Marymount Hospital · Garfield Heights $9
- Cleveland Clinic Avon Hospital · Avon $9
- Fairfield Medical Center · Lancaster $10
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Mount Carmel St Ann's (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $31
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $31).
Self-Pay Cash Rate ($55) Beats Your Bill
Mount Carmel St Ann's's published 45 CFR § 180 self-pay cash rate is $55 (vs. $32 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $48 Fair BaseRate ($28 Medicare)
Your bill ($85) is $37 above the denoised Fair BaseRate ($48) and 3.0× the $28 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.