CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Memorial Medical Center

Billing Code: 90716 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$183
modeled fair price · typically $61–$346
modeled estimate · not a bill or quote
Fair price $183 Cash price $185 Hospital's list price $264

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor $59 - $326 —
Blue Cross Blue Shieldmajor $244 - $261 —
Aetnamajor $59 - $313 —
Cignamajor $84 - $244 —
Humanamajor $167 - $261 —
Ambetter (Centene) $70 - $110 —
Amerigroup $59 - $326 —
Health Net $84 - $261 —
Healthcare Highways $167 - $261 —
Molina $100 - $326 —
+ 13 smaller / regional plans $59 - $342
Government programs also on file: Military & VA.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals