CMS Price Transparency Data
DTaP vaccine (diphtheria, tetanus, pertussis)
Facility: Sky Lakes Medical Center
Billing Code: 90700 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90700
- Insurance Median: $73
- Cash Discount Price: $55
- vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a DTaP vaccine (diphtheria, tetanus, pertussis) at Sky Lakes Medical Center is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 2865 Daggett Avenue, Klamath Falls, OR.
Cash / Self-Pay
$55
Average discount available for prompt cash payment at this facility.
Insurance Median
$73
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
N/A
Standard federal government reimbursement rate for this code.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Moda Health [1070] | $60 - $74 | N/A |
| Pacificsource [1195] | $65 - $66 | N/A |
| Pacificsource Health Plan PPO [1072] | $65 - $66 | N/A |
| Plexis Healthcare Systems [1246] | $73 - $74 | N/A |
| Gpa [1193] | $73 - $74 | N/A |
| Transamerica Life Ins [1087] | $73 - $74 | N/A |
| Tantara [1110] | $73 - $74 | N/A |
| City County Ins Service [6007] | $73 - $74 | N/A |
| Teamsters Food Employers Med Supp [1239] | $73 - $74 | N/A |
| Motion Picture Health [1066] | $73 - $74 | N/A |
| Wausau Ins [1100] | $73 - $74 | N/A |
| Wells Fargo Insurance Services [1139] | $73 - $74 | N/A |
| Saif [6022] | $73 - $74 | N/A |
| Sedgwick Cms [6023] | $73 - $74 | N/A |
| Teamsters Benefit Trust [1190] | $73 - $74 | N/A |
| Continental Benefits [1196] | $73 - $74 | N/A |
| Medicaid / KanCare | $73 - $74 | N/A |
| Arkansas Walmart Claims Mgmt [6003] | $73 - $74 | N/A |
| Eob Tpa LLC [1250] | $73 - $74 | N/A |
| State of Oregon [5019] | $73 - $74 | N/A |
| Pyramid Life Insurance [1080] | $73 - $74 | N/A |
| Aflac Med Supp [1234] | $73 - $74 | N/A |
| Sbma [1252] | $73 - $74 | N/A |
| Kaiser Permanente [1056] | $73 - $74 | N/A |
| Blue Shield Covered California [1241] | $73 - $74 | N/A |
| Transamerica Gap Supplement [1186] | $73 - $74 | N/A |
| Claimsbridge Ath01 [1254] | $73 - $74 | N/A |
| Kemper Auto [3062] | $73 - $74 | N/A |
| So Ca Drug Benefit Fund [1133] | $73 - $74 | N/A |
| Dairyland Auto Ins [6010] | $73 - $74 | N/A |
| Met Life Mva [3045] | $73 - $74 | N/A |
| Hartford Auto Insurance [3049] | $73 - $74 | N/A |
| State Farm Health [1084] | $73 - $74 | N/A |
| Healthnet Med Supp [1149] | $73 - $74 | N/A |
| Kaiser Covered California [5035] | $73 - $74 | N/A |
| Cypress Benefit Administrators [1179] | $73 - $74 | N/A |
| UnitedHealthcare | $73 - $74 | N/A |
| Mediplus Troa Claims [1064] | $73 - $74 | N/A |
| Ufcw [1095] | $73 - $74 | N/A |
| Deseret Mutual Mhn [1030] | $73 - $74 | N/A |
| Chartis [6006] | $73 - $74 | N/A |
| Farmers Insurance [6012] | $73 - $74 | N/A |
| Coordinated Benefit Plans [1124] | $73 - $74 | N/A |
| United Teacher Assoc Ins Co [1171] | $73 - $74 | N/A |
| Managed Care Administrators [1128] | $73 - $74 | N/A |
| Ohp Doctors of Oregon Coast So [5007] | $73 - $74 | N/A |
| Progressive Auto [6020] | $73 - $74 | N/A |
| Allied Benefit Systems [1158] | $73 - $74 | N/A |
| Alaska Teamster [1116] | $73 - $74 | N/A |
| Travelers Insurance Oregon Mva [6050] | $73 - $74 | N/A |
| Healthpartners [1192] | $73 - $74 | N/A |
| Us Department of Labor [6036] | $73 - $74 | N/A |
| Veterans Evaluation Services [4008] | $73 - $74 | N/A |
| Cco Advanced Health [5027] | $73 - $74 | N/A |
| Lumico Life Insurance [1183] | $73 - $74 | N/A |
| Joint Labor Mgmt Retail Trust [1055] | $73 - $74 | N/A |
| Avma Health Group 1St Hlth PPO [1016] | $73 - $74 | N/A |
| Thrivent Financial [1176] | $73 - $74 | N/A |
| Meritain Health [1129] | $73 - $74 | N/A |
| Liberty Health Plan [1057] | $73 - $74 | N/A |
| Providence Health Assur Med Supp [1079] | $73 - $74 | N/A |
| Samba [1082] | $73 - $74 | N/A |
| Starr Indemnity and Liability [1134] | $73 - $74 | N/A |
| Travelers Insurance Oregon Wc [6035] | $73 - $74 | N/A |
| Tribal Health Karuk [1090] | $73 - $74 | N/A |
| Us Family Health Plan [4007] | $73 - $74 | N/A |
| Hartford [6015] | $73 - $74 | N/A |
| Aither Health Plan [1243] | $73 - $74 | N/A |
| Us Marshals Office [8005] | $73 - $74 | N/A |
| Healthscope [1126] | $73 - $74 | N/A |
| Liberty Mutual [6016] | $73 - $74 | N/A |
| G and G Electric Healthcare Plan [1036] | $73 - $74 | N/A |
| Woodmen Life Supplement [1248] | $73 - $74 | N/A |
| Medico Insurance Company [1194] | $73 - $74 | N/A |
| Specialty Risk Solutions [6025] | $73 - $74 | N/A |
| Tribal Health Coquille [1088] | $73 - $74 | N/A |
| Lineco Ins First Health [1059] | $73 - $74 | N/A |
| Ameriben Solutions [1007] | $73 - $74 | N/A |
| Health Now Admin Services [1120] | $73 - $74 | N/A |
| Harrington Benefit Services [1043] | $73 - $74 | N/A |
| Cco Columbia Pacific [5026] | $73 - $74 | N/A |
| Oregon Mutual Insurance Co [6019] | $73 - $74 | N/A |
| UPMC Health Plan [1228] | $73 - $74 | N/A |
| S&S Health Tpa PPO [1219] | $73 - $74 | N/A |
| Cas Tpa [1210] | $73 - $74 | N/A |
| University of Utah Health Plans [1212] | $73 - $74 | N/A |
| Standard Life [1169] | $73 - $74 | N/A |
| Asante Moda Health Plan [1245] | $73 - $74 | N/A |
| Farmers Ins Medical [1033] | $73 - $74 | N/A |
| American Family Auto [3033] | $73 - $74 | N/A |
| Contra Costa Health [5038] | $73 - $74 | N/A |
| Uct Insurance [1094] | $73 - $74 | N/A |
| The General [3055] | $73 - $74 | N/A |
| Cco Health Share Kaiser [5031] | $73 - $74 | N/A |
| Cco Trillium Community Health Plan [5011] | $73 - $74 | N/A |
| Zurich Farmers [6029] | $73 - $74 | N/A |
| Corvel [3066] | $73 - $74 | N/A |
| Bristol Hospice [1206] | $73 - $74 | N/A |
| Providence Health Ph & S Oregon [3036] | $73 - $74 | N/A |
| Lucent Health [1187] | $73 - $74 | N/A |
| Select Health Plan PPO [1132] | $73 - $74 | N/A |
| Albertson [1004] | $73 - $74 | N/A |
| Geico [6032] | $73 - $74 | N/A |
| Medi Cal [5002] | $73 - $74 | N/A |
| Samaritan Health Plan [3043] | $73 - $74 | N/A |
| Mba Benefit Administrators [1253] | $73 - $74 | N/A |
| Phillips Admin Service [1073] | $73 - $74 | N/A |
| United Indian Health Services [1211] | $73 - $74 | N/A |
| Operating Engineers [1071] | $73 - $74 | N/A |
| Tricare | $73 - $74 | N/A |
| Allcare Medigap [1162] | $73 - $74 | N/A |
| Western Growers Assurance Trust [3053] | $73 - $74 | N/A |
| Bridgespan Health [1213] | $73 - $74 | N/A |
| Blue Cross Blue Shield | $73 - $74 | N/A |
| Zurich North America - Claims [6058] | $73 - $74 | N/A |
| Liberty Mutual [6049] | $73 - $74 | N/A |
| Fra Ins Plans [1035] | $73 - $74 | N/A |
| State Mutual Insurance Company [1173] | $73 - $74 | N/A |
| Western Benefits [1101] | $73 - $74 | N/A |
| Amshield [6057] | $73 - $74 | N/A |
| Cigna | $73 - $74 | N/A |
| Office Workers Com [6018] | $73 - $74 | N/A |
| National General Accident Health [1202] | $73 - $74 | N/A |
| Masters Mates and Pilots [1063] | $73 - $74 | N/A |
| Crawford and Co [6009] | $73 - $74 | N/A |
| International Benefit Administrator [1172] | $73 - $74 | N/A |
| Intermountain Claims [6014] | $73 - $74 | N/A |
| Blue Shield Out of State PPO [1235] | $73 - $74 | N/A |
| Options for Southern Oregon [5022] | $73 - $74 | N/A |
| Aetna | $73 - $74 | N/A |
| Broadspire [6034] | $73 - $74 | N/A |
| Asuris Northwest Health [1117] | $73 - $74 | N/A |
| Iec Benefit Administrators [1052] | $73 - $74 | N/A |
| Tristar Insurance Group [6042] | $73 - $74 | N/A |
| Shasta Administrators [1092] | $73 - $74 | N/A |
| American National [1178] | $73 - $74 | N/A |
| Root Insurance Company [6048] | $73 - $74 | N/A |
| Managed Hlth Netwrk Bh Healthnet [1233] | $73 - $74 | N/A |
| Pai [1130] | $73 - $74 | N/A |
| Ilwu Pma Welfare Plan [1053] | $73 - $74 | N/A |
| Humana | $73 - $74 | N/A |
| Mba Merchants Benefit Admin [1247] | $73 - $74 | N/A |
| Triwest [4006] | $73 - $74 | N/A |
| Cco Pacifisource Community Sol [5016] | $73 - $74 | N/A |
| Argo Group Us Wc Claims [6002] | $73 - $74 | N/A |
| Champva [4001] | $73 - $74 | N/A |
| Sky Lakes Health Plan [1156] | $73 - $74 | N/A |
| Equitable [1032] | $73 - $74 | N/A |
| Cco Health Share Oregon [5030] | $73 - $74 | N/A |
| State Farm [6027] | $73 - $74 | N/A |
| Tribal Health Klamath [1091] | $73 - $74 | N/A |
| First Choice Health PPO [1220] | $73 - $74 | N/A |
| Esis [6047] | $73 - $74 | N/A |
| State Comp of Ca [6026] | $73 - $74 | N/A |
| Aig Workers Compensation [6000] | $73 - $74 | N/A |
| Enumclaw Property & Casualty [6045] | $73 - $74 | N/A |
| Nationwide Worker's Comp [3032] | $73 - $74 | N/A |
| Washington Dept of Labor & Ind [6051] | $73 - $74 | N/A |
| Screenwise Program [5017] | $73 - $74 | N/A |
| Covered California [5040] | $73 - $74 | N/A |
| Medicare (plans) | $73 - $74 | N/A |
| Cco Yamhill Community Care Org [5032] | $73 - $74 | N/A |
| Ohp Marion Polk Comm Health Pl [5012] | $73 - $74 | N/A |
| Mega Life and Hlth [1065] | $73 - $74 | N/A |
| Cannon Cochran Mgmt [6005] | $73 - $74 | N/A |
| Teamsters Food Employers Sec [1136] | $73 - $74 | N/A |
| Mutual of Omaha [1068] | $73 - $74 | N/A |
| Cambridge Integrated Service [6004] | $73 - $74 | N/A |
| Auic Org [1118] | $73 - $74 | N/A |
| Kaiser Northern California HMO [1223] | $73 - $74 | N/A |
| Providence Health Plan Bh [1205] | $73 - $74 | N/A |
| Zenith Admin [1104] | $73 - $74 | N/A |
| Cco Umpqua Health Alliance [5008] | $73 - $74 | N/A |
| Tcc of South Carolina [1135] | $73 - $74 | N/A |
| Veterans Administration [4004] | $73 - $74 | N/A |
| Kaiser Permanente [3047] | $73 - $74 | N/A |
| Kaiser Permanente Hawaii [3050] | $73 - $74 | N/A |
| Mailhandlers Benefit [1062] | $73 - $74 | N/A |
| Loomis [1060] | $73 - $74 | N/A |
| National Guardian Life [1208] | $73 - $74 | N/A |
| Ohp Newborn Pending Id [8006] | $73 - $74 | N/A |
| Greater Oregon Behavioral Hlth [5001] | $73 - $74 | N/A |
| Special District Assoc of Or [6024] | $73 - $74 | N/A |
| Ag Specialty Insurance [1242] | $73 - $74 | N/A |
| Verdegard Administrators LLC [1204] | $73 - $74 | N/A |
| Cco Jackson Care Connect [5005] | $73 - $74 | N/A |
| Lifewise Tpm Trust [1058] | $73 - $74 | N/A |
| Globe Life and Accident Ins Co [1177] | $73 - $74 | N/A |
| Jackson County [8003] | $73 - $74 | N/A |
| Ebms [1031] | $73 - $74 | N/A |
| Construction Teamsters [1123] | $73 - $74 | N/A |
| Cco Health Share OHSU [5041] | $73 - $74 | N/A |
| Usaa Auto Insurance [3048] | $73 - $74 | N/A |
| Bs of Ca Promise Health Plan [5039] | $73 - $74 | N/A |
| Principal Life Insurance [1077] | $73 - $74 | N/A |
| Standard Life and Accident Ins [1167] | $73 - $74 | N/A |
| Pioneer Life [1075] | $73 - $74 | N/A |
| Crime Victims Comp Program [8002] | $73 - $74 | N/A |
| Josephine County [6030] | $73 - $74 | N/A |
| Washington National Ins [1099] | $73 - $74 | N/A |
| Web Tpa [1170] | $73 - $74 | N/A |
| Plumbers and Pipefitters Union [1083] | $73 - $74 | N/A |
| Providence Hospice [1050] | $73 - $74 | N/A |
| Sierra Health and Life [1200] | $73 - $74 | N/A |
| Partnership Healthplan of Ca [5033] | $73 - $74 | N/A |
| Union Pacific Rr Emp Health [1096] | $73 - $74 | N/A |
| Healthcare Management Admin [1109] | $73 - $74 | N/A |
| Combined Insurance [1106] | $73 - $74 | N/A |
| Mvp Select Care [1140] | $73 - $74 | N/A |
| Cco Allcare Health Plan [5013] | $73 - $74 | N/A |
| Sentinel Security Life Insurance [1189] | $73 - $74 | N/A |
| Us Department of Labor [6011] | $73 - $74 | N/A |
| Imagine 360 [1251] | $73 - $74 | N/A |
| Sublimity Insurance [6028] | $73 - $74 | N/A |
| Cna Workers Compensation [6056] | $73 - $74 | N/A |
| Geha [1038] | $73 - $74 | N/A |
| Oregon State Police [8004] | $73 - $74 | N/A |
| Iac [1157] | $73 - $74 | N/A |
| Safeco [6021] | $73 - $74 | N/A |
| Matrix Absence Management Inc [6038] | $73 - $74 | N/A |
| Bakery and Confectionery Union [1119] | $73 - $74 | N/A |
| Cco Intercommunity Health Network [5010] | $73 - $74 | N/A |
| Pemco Mutual Insurance [6044] | $73 - $74 | N/A |
| Usaa Ins [1098] | $73 - $74 | N/A |
| Sanford Health Plan [1147] | $73 - $74 | N/A |
| Alaska Electrical [1003] | $73 - $74 | N/A |
| Country Companies [6008] | $73 - $74 | N/A |
| Claims Administrator Lucent Health [1188] | $73 - $74 | N/A |
| Nationwide Ins [3051] | $73 - $74 | N/A |
| Asante Hospice [1048] | $73 - $74 | N/A |
| Kaiser of Washington [1207] | $73 - $74 | N/A |
| Rsl Specialty Products Admin [1131] | $73 - $74 | N/A |
| North America Administrators [1174] | $73 - $74 | N/A |
| Connecticut General Life [1122] | $73 - $74 | N/A |
| Boilermaker Natl Hlth and Wlfr [1020] | $73 - $74 | N/A |
| Healthnet PPO [1047] | $73 - $74 | N/A |
| Trustmark [1209] | $73 - $74 | N/A |
| Personify Health [1125] | $73 - $74 | N/A |
| Western Teamsters Welfare [1103] | $73 - $74 | N/A |
| United American Ins [1097] | $73 - $74 | N/A |
| Delta Health System [1107] | $73 - $74 | N/A |
| Allstate Mva [6001] | $73 - $74 | N/A |
| Nonstop Wellness [3044] | $73 - $74 | N/A |
| Cco Eastern Oregon [5023] | $73 - $74 | N/A |
| Plumbing and Pipefitting Trst [1076] | $73 - $74 | N/A |
| Careassist Program/Tpa [1165] | $73 - $74 | N/A |
| Gravie Administrative Services [1249] | $73 - $74 | N/A |
| Central States Idemnity Med Supp [1143] | $73 - $74 | N/A |
| Physicians Mutual Ins [1074] | $73 - $74 | N/A |
| Cco Health Share Tuality [5028] | $73 - $74 | N/A |
| Gallagher Bassett [6013] | $73 - $74 | N/A |