CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: White Rock Medical Center

Billing Code: 90715 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$73
modeled fair price · typically $44–$211
modeled estimate · not a bill or quote
What this hospital charges insurers
$69
About the fair price
about $4 under the fair price
Fair price $73 This hospital $69 Cash price $97 Hospital's list price $143

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $19 Priciest $69

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Tdap vaccine (tetanus, diphtheria, pertussis) is about $73. White Rock Medical Center charges insurers about $69, or about $97 in cash — about the fair price. Located in Dallas, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Cigna UnitedHealthcareAetnaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $57 - $76 —
Cignamajor $36 - $103 —
Amerigroup $13 —
Baylor Scott & White $71 —
Molina $103 —
+ 1 smaller / regional plan $103
Government programs also on file: Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 9440 Poppy Drive, Dallas, TX 75218
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals