CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Ascension St John Medical Center

Billing Code: 90715 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$52
modeled fair price · typically $35–$89
modeled estimate · not a bill or quote
What this hospital charges insurers
$52
About the fair price
Fair price $52 This hospital $52 Cash price $61 Hospital's list price $164

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Highest price of the 9 OK hospitals we have prices for — worth calling around.

Cheapest $25 Priciest $52

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

A fair price for a Tdap vaccine (tetanus, diphtheria, pertussis) is about $52. Ascension St John Medical Center charges insurers about $52, or about $61 in cash — about the fair price. Located in Tulsa, OK.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $52 —
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1923 South Utica Avenue, Tulsa, OK 74104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals