CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Curry General Hospital

Billing Code: 90715 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90715
  • Insurance Median: $242
  • Cash Discount Price: $252
  • vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at Curry General Hospital is $242. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $252. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.
Cash / Self-Pay
$252

Average discount available for prompt cash payment at this facility.

Insurance Median
$242

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
Partnership Health Plan of Calif Mdcd HMO [2008] $44 N/A
Tricare $75 - $95 N/A
Covid19 Hrsa Uninsured Testing and Treatment Fund [2271] $105 - $132 N/A
Medicare (plans) $105 - $199 N/A
Blue Cross Blue Shield $123 - $306 N/A
Medicaid / KanCare $152 - $199 N/A
Department of Corrections [1051] $157 - $199 N/A
Coordinated Care Commercial [1649] $206 - $260 N/A
Pacificsource [1148] $206 - $260 N/A
Moda [512] $208 - $275 N/A
Multiplan [1131] $220 - $278 N/A
Operating Engineers [1144] $230 - $291 N/A
Asuris [1258] $230 - $291 N/A
Regence [1351] $230 - $306 N/A
Coventry First Health Managed Care [1774] $237 - $300 N/A
Cigna $237 - $306 N/A
Providence Health Plan [567] $237 - $300 N/A
Coventry Health [1046] $237 - $300 N/A
Providence Health Plan Plm Alt [1692] $237 - $300 N/A
Aetna $242 - $306 N/A
UnitedHealthcare $242 - $306 N/A
Zenith Administrators [586] $242 - $306 N/A
Geha [531] $242 - $306 N/A
Trustmark [524] $242 - $306 N/A
Nw Sheet Metal Workers [597] $242 - $306 N/A
Mailhandlers Benefit Pln [547] $242 - $306 N/A
Employee Bene Admin Mgmt [525] $242 - $306 N/A
Meritain [550] $242 - $306 N/A
Allcare Alt [2598] $2,000 N/A
Allcare [1695] $2,000 N/A

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 94220 Fourth Street, Gold Beach, OR 97444
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals