CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Mount Carmel St Ann's

Billing Code: 90716 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$275
modeled fair price · typically $144–$703
modeled estimate · not a bill or quote
What this hospital charges insurers
$204
Below the fair price — a good deal
about $71 under the fair price
Fair price $275 This hospital $204 Cash price $288 Hospital's list price $288

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

On the higher side — 7 of 8 other OH hospitals charge less.

Cheapest $62 Priciest $205

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Varicella (chickenpox) vaccine is about $275. Mount Carmel St Ann's charges insurers about $204, or about $288 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

✓ 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 $128 - $319 —
Blue Cross Blue Shieldmajor $94 - $576 —
Aetnamajor $55 - $576 —
Cignamajor $141 - $323 —
Humanamajor $129 - $576 —
Kaiser Permanentemajor $288 —
Ambetter (Centene) $288 —
AmeriHealth $118 - $288 —
AvMed $288 —
Bright Health $288 —
CareSource $184 - $421 —
Clover Health $288 —
Dean Health Plan $288 —
Fidelis Care $288 —
Friday Health $288 —
GEHA $113 - $292 —
Geisinger $288 —
Harvard Pilgrim $288 —
Health Net $288 —
HealthLink $189 - $432 —
HealthPartners $141 - $323 —
Independent Health $288 —
MagnaCare $118 - $288 —
Medica $288 —
Medical Mutual $116 - $457 —
Meridian $288 —
Moda Health $288 —
Molina $288 —
MVP Health Care $141 - $323 —
Oscar Health $151 - $346 —
PacificSource $288 —
Paramount $133 - $304 —
Presbyterian $288 —
Priority Health $141 - $323 —
Providence Health Plan $288 —
Sanford Health Plan $288 —
Security Health Plan $288 —
SelectHealth $288 —
Sentara $252 - $576 —
Tufts Health Plan $288 —
UCare $288 —
UniCare $118 - $288 —
UPMC Health Plan $288 —
WellCare $288 —
WellMed $288 —
WellSense $288 —
+ 1049 smaller / regional plans $113 - $632
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 42 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 500 South Cleveland Avenue, Westerville, OH 43081
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals