CMS Price Transparency Data

Typhoid vaccine

Facility: Holy Cross Hospital-Davis

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $1,222
Cash Discount Price: $910
vs. Medicare Baseline: 3.88x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at Holy Cross Hospital-Davis is $1,222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $910. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 3.88x the Medicare baseline. Located in 1600 West Antelope Drive, Layton, UT.

Cash / Self-Pay

$910

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,222

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: $910 (289%)

Insurance Median: $1,222 (388%)

Cash: $910 (289% of Medicare)

Ins. Median: $1,222 (388% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 388% of the Medicare baseline (a markup of 288%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Humana	$307	97%
Medicare (plans)	$307	97%
Medicaid / KanCare	$314	100%
Uuhp	$314 - $1,411	100%
Blue Cross Blue Shield	$384 - $1,562	122%
Employer Direct Healthcare	$386	122%
Motivhealth	$408	129%
Centura Employee Plan	$535 - $911	170%
Cigna	$547 - $2,082	174%
Molina	$652 - $1,118	207%
Pehp	$653 - $1,510	207%
Aetna	$675 - $2,199	214%
Select Health	$751 - $1,279	238%
Wise	$795 - $1,380	252%
UnitedHealthcare	$884 - $2,603	280%
Multiplan	$902 - $2,369	286%
Deseret Mutual Benefit Administrators	$939 - $1,598	298%
Emi Health	$1,330 - $2,264	422%

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 $910.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90675.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Holy Cross Hospital-Davis is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90675.
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.