CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Stephens Memorial Hospital

Billing Code: 90715 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$77
modeled fair price · typically $38–$158
modeled estimate · not a bill or quote
What this hospital charges insurers
$78
About the fair price
about $1 over the fair price
Fair price $77 This hospital $78 Cash price $107 Hospital's list price $153

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $19 Priciest $78

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Tdap vaccine (tetanus, diphtheria, pertussis) is about $77. Stephens Memorial Hospital charges insurers about $78, or about $107 in cash — about the fair price. Located in Breckenridge, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $55 - $153 —
Blue Cross Blue Shieldmajor $116 - $122 —
Aetnamajor $122 - $153 —
Cignamajor $109 —
Humanamajor $55 —
+ 1 smaller / regional plan $40
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 200 South Geneva Street, Breckenridge, TX 76424
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals