CMS Price Transparency Data
Tdap vaccine (tetanus, diphtheria, pertussis)
Facility: Texas Health Hospital Frisco
Billing Code: 90715 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90715
- Insurance Median: $106
- Cash Discount Price: $106
- vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at Texas Health Hospital Frisco is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $106. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 12400 N Dallas Parkway, Frisco, TX.
Cash / Self-Pay
$106
Average discount available for prompt cash payment at this facility.
Insurance Median
$106
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
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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 |
|---|---|---|
| Amerigroup | $31 - $32 | N/A |
| Blue Cross Blue Shield | $31 - $368 | N/A |
| Parkland | $31 - $32 | N/A |
| UnitedHealthcare | $31 - $97 | N/A |
| Superior Wellcare | $33 | N/A |
| Molina | $34 | N/A |
| Aetna | $61 - $125 | N/A |
| Fort Worth Firefighters | $77 - $109 | N/A |
| City of Fort Worth | $83 - $84 | N/A |
| Cigna | $97 - $167 | N/A |
| Quick Trip | $106 - $112 | N/A |
| PHCS | $122 - $132 | N/A |
| Healthsmart | $132 - $149 | N/A |
| Multiplan | $153 - $155 | N/A |
| Galaxy | $155 - $156 | N/A |
| USA | $155 - $156 | N/A |