CMS Price Transparency Data

Typhoid vaccine

Facility: Winner Regional Healthcare Center - Cah

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $1,264
Cash Discount Price: $1,487
vs. Medicare Baseline: 4.01x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at Winner Regional Healthcare Center - Cah is $1,264. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,487. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 4.01x the Medicare baseline. Located in 745 East 8Th Street, Winner, SD.

Cash / Self-Pay

$1,487

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,264

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: $1,487 (472%)

Insurance Median: $1,264 (401%)

Cash: $1,487 (472% of Medicare)

Ins. Median: $1,264 (401% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 401% of the Medicare baseline (a markup of 301%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Sanford Health Plan	$869 - $1,502	276%
Blue Cross Blue Shield	$1,231 - $1,344	391%

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 $1,487.
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 Winner Regional Healthcare Center - Cah 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.