CMS Price Transparency Data
Varicella (chickenpox) vaccine
Facility: Marymount Hospital
Billing Code: 90716 (HCPCS)
The BaseRate · fair price low confidence
A fair price for this
$153
modeled fair price · typically $15–$245
modeled estimate · not a bill or quote
Fair price $153 Cash price $417 Hospital's list price $641
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 | $13 - $472 | — |
| Blue Cross Blue Shieldmajor | $14 - $524 | — |
| Aetnamajor | $136 - $656 | — |
| Cignamajor | $441 - $525 | — |
| Humanamajor | $532 - $558 | — |
| AmeriHealth | $15 | — |
| CareSource | $14 | — |
| Devoted Health | $407 - $426 | — |
| Molina | $14 | — |
| Oscar Health | $189 - $252 | — |
| Paramount | $14 | — |
| UPMC Health Plan | $376 - $394 | — |
| + 17 smaller / regional plans | $14 - $590 |
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Marymount Hospital
Compare: Varicella (chickenpox) vaccine at other OH hospitals
- Southwest General Health Center · Middleburg Heights $62
- Memorial Hospital · Fremont $112
- Fostoria Community Hospital · Fostoria $124
- Southern Ohio Medical Center · Portsmouth $152
- Adena Fayette Medical Center · Washington Ch $174
- Adena Pike Medical Center · Waverly $174
- Nationwide Children's Hospital Toledo, LLC · Toledo $188
- Mount Carmel St Ann's · Westerville $204
Insurance negotiated median for the same procedure, sorted lowest first.