CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: Texas Health Harris Methodist Hospital Alliance

Billing Code: 90700 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90700
Insurance Median: $63
Cash Discount Price: $67
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a DTaP vaccine (diphtheria, tetanus, pertussis) at Texas Health Harris Methodist Hospital Alliance is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 10864 Texas Health Trail, Fort Worth, TX.

Cash / Self-Pay

$67

Average discount available for prompt cash payment at this facility.

Insurance Median

$63

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
Amerigroup	$10 - $12	N/A
Blue Cross Blue Shield	$10 - $258	N/A
Cook Childrens	$10 - $12	N/A
UnitedHealthcare	$10 - $62	N/A
Aetna	$11 - $80	N/A
Molina	$11 - $13	N/A
Superior Wellcare	$11 - $12	N/A
Fort Worth Firefighters	$44 - $69	N/A
City of Fort Worth	$47 - $53	N/A
Cigna	$56 - $107	N/A
Quick Trip	$61 - $72	N/A
PHCS	$70 - $85	N/A
Healthsmart	$76 - $95	N/A
Multiplan	$88 - $99	N/A
Galaxy	$89 - $100	N/A
USA	$89 - $100	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 $67.
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 Texas Health Harris Methodist Hospital Alliance 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.