CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: UPMC Kane

Billing Code: 90715 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90715
Insurance Median: $126
Cash Discount Price: $197
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at UPMC Kane is $126. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $197. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 4372 Route 6, Kane, PA.

Cash / Self-Pay

$197

Average discount available for prompt cash payment at this facility.

Insurance Median

$126

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 (%)

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
UPMC Health Plan	$11 - $144	N/A
Aetna	$11 - $127	N/A
UnitedHealthcare	$12 - $134	N/A
Geisinger	$14	N/A
Amerihealth Caritas	$16 - $131	N/A
PA Health & Wellness	$40	N/A
Highmark Wholecare (Prev Gateway)	$40 - $125	N/A
Blue Cross Blue Shield	$54 - $122	N/A
UPMC Work Partners	$175	N/A
Focus Healthcare	$193 - $313	N/A
Cigna	$230 - $7,406	N/A
Horizon Health Plan	$230	N/A
Multiplan	$247	N/A
Health Coalition Partners	$263	N/A
Intergroup	$263	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 $197.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90715.

Insurance In-Network Protection Plan

Contact your insurance company to confirm UPMC Kane is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90715.
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.