CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Curry General Hospital

Billing Code: 90716 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90716
Insurance Median: $677
Cash Discount Price: $773
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Varicella (chickenpox) vaccine at Curry General Hospital is $677. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $773. 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

$773

Average discount available for prompt cash payment at this facility.

Insurance Median

$677

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

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 (%)

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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
Medicaid / KanCare	$160 - $547	N/A
Tricare	$211 - $271	N/A
Allcare [1695]	$213 - $2,000	N/A
Allcare Alt [2598]	$213 - $2,000	N/A
Medicare (plans)	$293 - $565	N/A
Covid19 Hrsa Uninsured Testing and Treatment Fund [2271]	$293 - $376	N/A
Blue Cross Blue Shield	$345 - $869	N/A
Department of Corrections [1051]	$440 - $565	N/A
Pacificsource [1148]	$575 - $739	N/A
Coordinated Care Commercial [1649]	$575 - $739	N/A
Moda [512]	$581 - $782	N/A
Multiplan [1131]	$616 - $791	N/A
Regence [1351]	$643 - $869	N/A
Operating Engineers [1144]	$643 - $826	N/A
Asuris [1258]	$643 - $826	N/A
Providence Health Plan [567]	$663 - $852	N/A
Cigna	$663 - $869	N/A
Coventry First Health Managed Care [1774]	$663 - $852	N/A
Coventry Health [1046]	$663 - $852	N/A
Providence Health Plan Plm Alt [1692]	$663 - $852	N/A
Employee Bene Admin Mgmt [525]	$677 - $869	N/A
Trustmark [524]	$677 - $869	N/A
Nw Sheet Metal Workers [597]	$677 - $869	N/A
Zenith Administrators [586]	$677 - $869	N/A
Geha [531]	$677 - $869	N/A
Aetna	$677 - $869	N/A
Meritain [550]	$677 - $869	N/A
UnitedHealthcare	$677 - $869	N/A
Mailhandlers Benefit Pln [547]	$677 - $869	N/A

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 $773.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90716.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Curry General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90716.
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.