CMS Price Transparency Data

Typhoid vaccine

Facility: Lewisgale Medical Center

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $3,633
Cash Discount Price: $5,117
vs. Medicare Baseline: 11.53x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at Lewisgale Medical Center is $3,633. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,117. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 11.53x the Medicare baseline. Located in 1900 Electric Road, Salem, VA.

Cash / Self-Pay

$5,117

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,633

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: $5,117 (1623%)

Insurance Median: $3,633 (1153%)

Cash: $5,117 (1623% of Medicare)

Ins. Median: $3,633 (1153% 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 1153% of the Medicare baseline (a markup of 1053%). 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
Triatlantic	$270	86%
Health Net	$286	91%
Humana	$308	98%
Cigna	$890 - $2,251	282%
United	$959 - $2,303	304%
Virginia Health Network	$1,791 - $3,633	568%
Naphcare	$2,558	811%
Greenvbrier Sporting Club	$3,070	974%
Richfield Nursing Center	$3,582	1136%
Graham-White Manufacturing	$3,582	1136%
Corvel	$3,684	1169%
Richfield Retirement Community	$3,838	1218%
Community Care Network	$3,838	1218%
One Health Plan	$4,094	1299%
Occunet Workers Comp	$4,094	1299%
Csx Hotels	$4,094	1299%
Patients Choice	$4,503	1429%
PHCS	$4,605	1461%
C&O Employees Hospital Assn	$4,605	1461%
4Most	$4,605	1461%
Multiplan	$4,605	1461%
Alleghany Highland Community	$4,605	1461%
American Postal Workers Union	$4,605	1461%
Star Transportation	$4,605	1461%

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 $5,117.
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 Lewisgale Medical Center 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.