CMS Price Transparency Data

Hepatitis B vaccine

Facility: Methodist Hospital Stone Oak

Billing Code: 90744 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90744
Insurance Median: $55
Cash Discount Price: $143
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hepatitis B vaccine at Methodist Hospital Stone Oak is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $143. 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

$143

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
Superior Health	$7	N/A
Community First Health Plans	$17	N/A
Amerigroup	$20	N/A
Triwest Health Alliance	$33	N/A
Value Options	$33	N/A
United	$35 - $64	N/A
Blue Cross Blue Shield	$42 - $89	N/A
Cigna	$53 - $69	N/A
Superior	$53	N/A
Aetna	$72	N/A
National Choicecare	$72	N/A
Texas Healthcare Foundation Heb	$72	N/A
Tx Healthcare Foundation	$72	N/A
Healthsmart Preferred Care	$79	N/A
Independent Medical Systems	$79	N/A
Physician Cooperative of Texas	$79	N/A
Haa Preferred Partners	$86	N/A
Coastal Comp Health Networks	$93	N/A
National Healthcare Solutions	$93	N/A
Tml Intergovernmental Ebp	$100	N/A
Multiplan	$107 - $122	N/A
Triwest VA Pccc	$107	N/A
USA Managed Care	$107	N/A
Blue Bell	$115	N/A
Directcare America	$115	N/A
Managed Healthcare	$122	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 $143.
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 Hospital Stone Oak 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.