CMS Price Transparency Data

Typhoid vaccine

Facility: UPMC Children's Hospital of Pittsburgh

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $470
Cash Discount Price: $700
vs. Medicare Baseline: 1.49x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at UPMC Children's Hospital of Pittsburgh is $470. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $700. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 1.49x the Medicare baseline. Located in One Children's Hospital Drive, Pittsburgh, PA.

Cash / Self-Pay

$700

Average discount available for prompt cash payment at this facility.

Insurance Median

$470

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$315.22

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $315.22 (100%)

Cash / Self-Pay: $700 (222%)

Insurance Median: $470 (149%)

Cash: $700 (222% of Medicare)

Ins. Median: $470 (149% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $315.22 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

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
Health Partners Plans (Jefferson Health Plan)	$39	12%
UnitedHealthcare	$40 - $1,295	13%
Geisinger	$41 - $450	13%
Health Plan of Upper Ohio Valley	$314 - $650	100%
Highmark Wholecare (Prev Gateway)	$314	100%
Blue Cross Blue Shield	$333 - $1,094	106%
Cigna	$339 - $550	108%
Amerihealth Caritas	$339 - $410	108%
Aetna	$345 - $550	109%
UPMC Health Plan	$345 - $461	109%
PA Health & Wellness	$400	127%
Intergroup	$650 - $850	206%
Saudi Armed Forces	$800	254%
Coventry/First Health	$800	254%
Multiplan	$850	270%
Health Payors Organization	$850	270%
Private Health Care Systems	$900	286%
National Provider Network	$900	286%

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 $700.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90675.

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 90675.
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.