CMS Price Transparency Data

Hepatitis B vaccine

Facility: Methodist Mansfield Medical Center

Billing Code: 90744 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90744
Insurance Median: $55
Cash Discount Price: $60
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hepatitis B vaccine at Methodist Mansfield Medical Center is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 2700 E Broad Street, Mansfield, TX.

Cash / Self-Pay

$60

Average discount available for prompt cash payment at this facility.

Insurance Median

$55

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 (%)

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
UnitedHealthcare	$8 - $9	N/A
Community Hospice of Texas [2005]	$28	N/A
Faith Hospice [2008]	$28	N/A
Generic Hospice [2011]	$28	N/A
Heart To Heart Hospice [2012]	$28	N/A
Homebound Cardinal Hospice [4019]	$28	N/A
Hospice Plus [2013]	$28	N/A
Kindful Health Hospice [4016]	$28	N/A
Lions Hospice [2015]	$28	N/A
New Century Hospice [2003]	$28	N/A
Odyssey Hospice [2018]	$28	N/A
Silverado Hospice [4017]	$28	N/A
Vista Care Hospice [2023]	$28	N/A
Vitas Hospice [2024]	$28	N/A
Vna Hospice [2025]	$28	N/A
Medicaid / KanCare	$31 - $40	N/A
Aetna	$55 - $58	N/A
Blue Cross Blue Shield	$55 - $111	N/A
Evry Health [1013]	$58 - $62	N/A
Kempton Group Administrators, Tower Extrusions [3061]	$58 - $62	N/A
Medical Cost Containment Professionals [3059]	$70 - $74	N/A
Provider Partners Health Plan [7025]	$70 - $74	N/A
Velocity [3070]	$76 - $80	N/A
Cigna	$87 - $93	N/A
Web Tpa [3049]	$87 - $93	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 $60.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90744.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Methodist Mansfield Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90744.
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.