CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Methodist Hospital Stone Oak

Billing Code: 90656 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90656
Insurance Median: $45
Cash Discount Price: $117
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Flu vaccine (high dose) at Methodist Hospital Stone Oak is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. 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

$117

Average discount available for prompt cash payment at this facility.

Insurance Median

$45

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
Superior Health	$6	N/A
Community First Health Plans	$14	N/A
Amerigroup	$16 - $17	N/A
Triwest Health Alliance	$23	N/A
Value Options	$23	N/A
United	$28 - $54	N/A
Blue Cross Blue Shield	$33 - $67	N/A
Cigna	$37 - $49	N/A
Superior	$42 - $45	N/A
Aetna	$56 - $60	N/A
National Choicecare	$56 - $60	N/A
Texas Healthcare Foundation Heb	$56 - $60	N/A
Tx Healthcare Foundation	$56 - $60	N/A
Healthsmart Preferred Care	$62 - $66	N/A
Independent Medical Systems	$62 - $66	N/A
Physician Cooperative of Texas	$62 - $66	N/A
Haa Preferred Partners	$68 - $72	N/A
Coastal Comp Health Networks	$73 - $79	N/A
National Healthcare Solutions	$73 - $79	N/A
Tml Intergovernmental Ebp	$79 - $85	N/A
Multiplan	$85 - $103	N/A
Triwest VA Pccc	$85 - $91	N/A
USA Managed Care	$85 - $91	N/A
Blue Bell	$90 - $97	N/A
Directcare America	$90 - $97	N/A
Managed Healthcare	$96 - $103	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 $117.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90656.

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 90656.
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.