CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Cimarron Memorial Hospital

Billing Code: 90715 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$58
modeled fair price · typically $33–$161
modeled estimate · not a bill or quote
What this hospital charges insurers
$39
Below the fair price — a good deal
about $19 under the fair price
Fair price $58 This hospital $39 Cash price $49 Hospital's list price $98

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

A typical price — 0 charge more and 4 charge less, among the 9 OK hospitals compared.

Cheapest $25 Priciest $39

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 $58. Cimarron Memorial Hospital charges insurers about $39, or about $49 in cash — below the fair price — a good deal. Located in Boise City, OK.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $31 - $47 —
Aetnamajor $88 —
Humanamajor $42 —
+ 2 smaller / regional plans $98

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 100 South Ellis, Boise City, OK 73933
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals