CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: Methodist Hospital Stone Oak

Billing Code: 90700 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90700
Insurance Median: $91
Cash Discount Price: $288
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a DTaP vaccine (diphtheria, tetanus, pertussis) at Methodist Hospital Stone Oak is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $288. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1139 E Sonterra Blvd,, San Antonio, TX.

Cash / Self-Pay

$288

Average discount available for prompt cash payment at this facility.

Insurance Median

$91

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 (%)

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
Superior Health	$14 - $18	N/A
Community First Health Plans	$20 - $42	N/A
Triwest Health Alliance	$32	N/A
Value Options	$32	N/A
Amerigroup	$40 - $49	N/A
United	$42 - $158	N/A
Blue Cross Blue Shield	$50 - $108	N/A
Cigna	$56 - $74	N/A
Superior	$63 - $130	N/A
Aetna	$85 - $175	N/A
Healthsmart Preferred Care	$94 - $193	N/A
Multiplan	$128 - $298	N/A
National Choicecare	$144 - $175	N/A
Texas Healthcare Foundation Heb	$144 - $175	N/A
Tx Healthcare Foundation	$144 - $175	N/A
Independent Medical Systems	$158 - $193	N/A
Physician Cooperative of Texas	$158 - $193	N/A
Haa Preferred Partners	$173 - $211	N/A
Coastal Comp Health Networks	$187 - $228	N/A
National Healthcare Solutions	$187 - $228	N/A
Tml Intergovernmental Ebp	$201 - $246	N/A
Triwest VA Pccc	$216 - $263	N/A
USA Managed Care	$216 - $263	N/A
Blue Bell	$230 - $281	N/A
Directcare America	$230 - $281	N/A
Managed Healthcare	$245 - $298	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 $288.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Methodist Hospital Stone Oak is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90700.
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.