CMS Price Transparency Data

Hepatitis B vaccine

Facility: CHI St Lukes Lakeside Hospital

Billing Code: 90744 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90744
Insurance Median: $46
Cash Discount Price: $50
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hepatitis B vaccine at CHI St Lukes Lakeside Hospital is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 17400 St Lukes Way, The Woodlands, TX.

Cash / Self-Pay

$50

Average discount available for prompt cash payment at this facility.

Insurance Median

$46

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
Renaissance	$10 - $14	N/A
Blue Cross Blue Shield	$14 - $74	N/A
Cigna	$14 - $122	N/A
Humana	$14 - $113	N/A
Kelsey	$14 - $19	N/A
Selectcare	$14 - $19	N/A
Aetna	$15 - $56	N/A
Amerivantage	$15 - $20	N/A
Devoted	$15 - $20	N/A
Scanhealth	$15 - $20	N/A
UnitedHealthcare	$15 - $144	N/A
Kindred	$16 - $21	N/A
Kelseycare	$20 - $85	N/A
Ambetter / Centene	$22 - $29	N/A
Community Health Choice	$22 - $29	N/A
Harris Health	$22 - $29	N/A
Wellpoint	$22 - $29	N/A
United	$34 - $82	N/A
Bright Health	$43 - $57	N/A
Tchpchip	$46 - $76	N/A
Nx Health	$47 - $62	N/A
Chc	$72 - $96	N/A
Texastruechoice	$72 - $96	N/A
Independent Med System	$79 - $104	N/A
Coventry	$85 - $113	N/A
First Health	$85 - $113	N/A
Healthsmart	$92 - $122	N/A
Interlink	$92 - $122	N/A
PHCS	$92 - $122	N/A
PHCS Savility	$92 - $122	N/A
Multiplan	$99 - $130	N/A
USA Health Network	$112 - $148	N/A
Mhealth Network	$131 - $174	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 $50.
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 CHI St Lukes Lakeside Hospital 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.