CMS Price Transparency Data

Typhoid vaccine

Facility: Childrens Hospital of the Kings Daughters Inc

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $1,192
Cash Discount Price: $1,349
vs. Medicare Baseline: 3.78x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at Childrens Hospital of the Kings Daughters Inc is $1,192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,349. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 3.78x the Medicare baseline. Located in 601 Children's Lane, Norfolk, VA.

Cash / Self-Pay

$1,349

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,192

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: $1,349 (428%)

Insurance Median: $1,192 (378%)

Cash: $1,349 (428% of Medicare)

Ins. Median: $1,192 (378% 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 378% of the Medicare baseline (a markup of 278%). 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
Blue Cross Blue Shield	$184 - $640	58%
UnitedHealthcare	$185 - $1,272	59%
Sentara Community Plan	$216	69%
Aetna	$227 - $1,272	72%
Humana	$227	72%
Healthy Blue	$334 - $356	106%
Amerihealth Caritas	$334 - $356	106%
Carolina Complete Health	$340 - $363	108%
Wellcare	$344 - $367	109%
Sentara Health Plans	$671 - $716	213%
Cigna	$963 - $1,027	306%
Virginia Health Network	$1,015 - $1,238	322%
Medcost	$1,233 - $1,424	391%
First Health	$1,305 - $1,393	414%
Vhn	$1,334 - $1,470	423%
Multiplan	$1,334 - $1,424	423%
PHCS	$1,334 - $1,470	423%
Johns Hopkins Healthcare	$1,378 - $1,470	437%

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 $1,349.
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 Childrens Hospital of the Kings Daughters Inc 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.