CMS Price Transparency Data

MMR vaccine (measles, mumps, rubella)

Facility: Lewisgale Medical Center

Billing Code: 90707 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90707
Insurance Median: $231
Cash Discount Price: $321
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a MMR vaccine (measles, mumps, rubella) at Lewisgale Medical Center is $231. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $321. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1900 Electric Road, Salem, VA.

Cash / Self-Pay

$321

Average discount available for prompt cash payment at this facility.

Insurance Median

$231

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
Aetna	$48	N/A
Cigna	$56 - $141	N/A
Triatlantic	$86	N/A
Health Net	$91	N/A
Humana	$98	N/A
Virginia Health Network	$112 - $228	N/A
United	$117 - $351	N/A
Naphcare	$160	N/A
Greenvbrier Sporting Club	$193	N/A
Richfield Nursing Center	$225	N/A
Graham-White Manufacturing	$225	N/A
Corvel	$231	N/A
Community Care Network	$241	N/A
Richfield Retirement Community	$241	N/A
Csx Hotels	$257	N/A
One Health Plan	$257	N/A
Occunet Workers Comp	$257	N/A
Patients Choice	$282	N/A
PHCS	$289	N/A
American Postal Workers Union	$289	N/A
Star Transportation	$289	N/A
Multiplan	$289	N/A
Alleghany Highland Community	$289	N/A
C&O Employees Hospital Assn	$289	N/A
4Most	$289	N/A
United Behavioral Health	$321	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 $321.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90707.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lewisgale Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90707.
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.