CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Ashtabula County Medical Center

Billing Code: 90716 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$177
modeled fair price · typically $23–$330
modeled estimate · not a bill or quote
Fair price $177 Cash price $25 Hospital's list price $35

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $183 —
Blue Cross Blue Shieldmajor $9 —
Aetnamajor $9 - $187 —
Cignamajor $15 - $18 —
Medical Mutual $13 - $20 —
+ 1 smaller / regional plan $14

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 2420 Lake Avenue, Ashtabula, OH 44004
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals