CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: UPMC Children's Hospital of Pittsburgh

Billing Code: 90715 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90715
Insurance Median: $33
Cash Discount Price: $35
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at UPMC Children's Hospital of Pittsburgh is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in One Children's Hospital Drive, Pittsburgh, PA.

Cash / Self-Pay

$35

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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
Aetna	$13 - $44	N/A
UnitedHealthcare	$21 - $153	N/A
PA Health & Wellness	$21 - $24	N/A
Amerihealth Caritas	$22 - $24	N/A
Geisinger	$24 - $41	N/A
Cigna	$25 - $33	N/A
Blue Cross Blue Shield	$26 - $316	N/A
Health Plan of Upper Ohio Valley	$34 - $42	N/A
Intergroup	$34 - $51	N/A
Health Partners Plans (Jefferson Health Plan)	$39	N/A
Highmark Wholecare (Prev Gateway)	$40	N/A
Coventry/First Health	$42 - $48	N/A
Saudi Armed Forces	$42 - $48	N/A
UPMC Health Plan	$44 - $56	N/A
Health Payors Organization	$45 - $51	N/A
Multiplan	$45 - $51	N/A
Private Health Care Systems	$48 - $54	N/A
National Provider Network	$48 - $54	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 $35.
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 Children's Hospital of Pittsburgh 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.