CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: St Anthony Hospital

Billing Code: 90715 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$58
modeled fair price · typically $31–$116
modeled estimate · not a bill or quote
Fair price $58 Cash price $93 Hospital's list price $137

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $130 —
Blue Cross Blue Shieldmajor $110 —
Aetnamajor $130 —
Cignamajor $74 - $77 —
Health Net $123 —
Moda Health $45 - $93 —
PacificSource $130 —
+ 2 smaller / regional plans $116 - $130

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 2801 St Anthony Way, Pendleton, OR 97801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals