CMS Price Transparency Data
Varicella (chickenpox) vaccine
Facility: Diley Ridge Medical Center
Billing Code: 90716 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$284
modeled fair price · typically $138–$770
modeled estimate · not a bill or quote
Fair price $284 Cash price $269 Hospital's list price $414
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 | $128 - $319 | — |
| Blue Cross Blue Shieldmajor | $94 - $576 | — |
| Aetnamajor | $55 - $576 | — |
| Cignamajor | $141 - $323 | — |
| Humanamajor | $129 - $576 | — |
| AmeriHealth | $118 - $269 | — |
| CareSource | $184 - $421 | — |
| GEHA | $113 - $292 | — |
| HealthLink | $189 - $432 | — |
| HealthPartners | $141 - $323 | — |
| MagnaCare | $118 - $269 | — |
| Medical Mutual | $192 - $439 | — |
| MVP Health Care | $141 - $323 | — |
| Oscar Health | $151 - $346 | — |
| Priority Health | $141 - $323 | — |
| Sentara | $252 - $576 | — |
| UniCare | $118 - $269 | — |
| + 85 smaller / regional plans | $113 - $632 |
Government programs also on file: Medicare, Medicaid.
Excludes 7 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
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Other Procedures at Diley Ridge Medical Center
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.