CMS Price Transparency Data

Typhoid vaccine

Facility: Mid-Columbia Medical Center

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $1,039
Cash Discount Price: $751
vs. Medicare Baseline: 3.30x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at Mid-Columbia Medical Center is $1,039. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $751. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 3.30x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.

Cash / Self-Pay

$751

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,039

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$315.22

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $315.22 (100%)

Cash / Self-Pay: $751 (238%)

Insurance Median: $1,039 (330%)

Cash: $751 (238% of Medicare)

Ins. Median: $1,039 (330% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $315.22 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 330% of the Medicare baseline (a markup of 230%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Providence PPO - All Plans	$58	18%
Devoted McR Adv - All Plans	$473 - $935	150%
Molina - All Other Plans	$526 - $1,039	167%
Molina McR Adv	$526 - $1,039	167%
Molina McAid	$547 - $1,080	174%
Aetna	$586	186%
Healthnet McR Adv	$631 - $1,247	200%
Employee Health Plan - All Plans	$736 - $1,454	233%
Blue Cross Blue Shield	$789 - $1,558	250%
Multiplan/Phcs - All Plans	$789 - $1,558	250%
VA Ccn Triwest - All Plans	$789 - $1,558	250%
Amerigroup McAid - All Plans	$1,052 - $2,078	334%
Coordinated Care McAid - All Plans	$1,052 - $2,078	334%
Moda McR Adv	$1,052 - $2,078	334%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $751.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90675.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mid-Columbia Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90675.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.