CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: HCA Houston Healthcare Pearland

Billing Code: 90715 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90715
Insurance Median: $83
Cash Discount Price: $514
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at HCA Houston Healthcare Pearland is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $514. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 11100 Shadow Creek Parkway, Pearland, TX.

Cash / Self-Pay

$514

Average discount available for prompt cash payment at this facility.

Insurance Median

$83

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 Plan	$30 - $32	N/A
Aetna	$33 - $35	N/A
Christus (Usfhp)	$39	N/A
Triwest Health Alliance	$39	N/A
Community Health Choice McD	$65 - $68	N/A
United	$65 - $237	N/A
Blue Cross Blue Shield	$77 - $184	N/A
Texas Childrens Health Plans	$83 - $125	N/A
Cigna	$132 - $170	N/A
Molina Healthcare	$135 - $142	N/A
Coventry National First Health	$267 - $281	N/A
Humana	$301	N/A
Triwest Healthcare Alliance	$401 - $421	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 $514.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90715.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Houston Healthcare Pearland is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90715.
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.