CMS Price Transparency Data

Typhoid vaccine

Facility: Methodist Southlake Medical Center

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90675
  • Insurance Median: $544
  • Cash Discount Price: $775
  • vs. Medicare Baseline: 1.73x Medicare
The contracted insurance negotiated median rate for a Typhoid vaccine at Methodist Southlake Medical Center is $544. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $775. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 1.73x the Medicare baseline. Located in 421 E State Highway 114, Southlake, TX.
Cash / Self-Pay
$775

Average discount available for prompt cash payment at this facility.

Insurance Median
$544

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$315.22

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $315.22 (100%)
Cash / Self-Pay: $775 (246%)
Insurance Median: $544 (173%)
Cash: $775 (246% of Medicare)
Ins. Median: $544 (173% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $315.22 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Aetna $320 - $1,008 102%
Blue Cross Blue Shield $320 - $1,442 102%
Medicare (plans) $320 - $342 102%
UnitedHealthcare $320 - $1,200 102%
Ust Health Proof [1005] $320 102%
Wellcare [7016] $320 102%
Champva [1000] $328 104%
Tricare $328 104%
Triwest Wps [8010] $328 104%
Veterans Administration [9001] $328 104%
American Health Advantage of Texas [7099] $336 107%
Cigna $336 - $1,162 107%
Globalhealth [1003] $336 107%
Procare Advantage [7018] $336 107%
Humana $339 108%
Southwestern Health Resources Swhr [7015] $339 108%
Provider Partners Health Plan [7025] $345 109%
Alternative Service Concepts [8005] $400 127%
Oscar Insurance Company [2057] $416 132%
Bright Healthcare [2222] $448 142%
Molina [3017] $464 147%
Wellpoint Marketplace Exchange [3071] $496 157%
Kempton Group Administrators, Tower Extrusions [3061] $512 162%
90 Degree Benefit [3057] $528 168%
Allied National [2031] $528 168%
Entrust/90 Degree [2058] $528 168%
Friday Health Plan [2061] $544 173%
Ambetter / Centene $547 174%
Imperial Insurance Companies [3073] $576 183%
Department of Labor [8004] $640 203%
Evry Health [1013] $640 203%
Generic Workers Comp Tx Non Par [9010] $640 203%
Generic Workers Comp Tx Par [8002] $640 203%
Generic Workers Comp Tx Par [9011] $640 203%
Sana Benefits [3069] $640 203%
Tristar Risk Management [8006] $640 203%
Velocity [3070] $640 203%
Health Plans Inc [5017] $799 253%
Medical Cost Containment Professionals [3059] $799 253%
Dart Member Care [3039] $863 274%
Healthscope Benefits [2052] $863 274%
Healthscope Benefits [3063] $863 274%
Scott & White Health Plan Trs [3062] $868 275%
Web Tpa [3049] $884 - $1,162 280%
Bind Benefits Inc [1004] $1,200 381%
Definity Health [3006] $1,200 381%
Freedom Life Insurance Company [2029] $1,200 381%
Geha Federal [3066] $1,200 381%
Tml Intergovernmental Employee Benefits [3050] $1,200 381%
Medicaid / KanCare $1,605 - $1,949 509%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 421 E State Highway 114, Southlake, TX 76092
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals