CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 90656 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90656
Insurance Median: $31
Cash Discount Price: $63
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Flu vaccine (high dose) at Univ. of Vermont - Fletcher Allen Health Care is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.

Cash / Self-Pay

$63

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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
UnitedHealthcare	$13 - $63	N/A
Mvp	$13 - $50	N/A
Blue Cross Blue Shield	$18 - $52	N/A
Veterans Affairs Community Care Network	$21 - $23	N/A
Martins Point	$22	N/A
St. Regis	$23	N/A
Humana	$23	N/A
Aetna	$23 - $29	N/A
Fidelis Care	$24 - $27	N/A
Capital District Physicians' Health Plan	$31 - $47	N/A
Wellpath	$33 - $35	N/A
Cigna	$41 - $61	N/A
Ebpa	$48 - $54	N/A
Harvard Pilgrim	$50	N/A
Magnacare	$50	N/A
Coventry	$53	N/A
Nppn	$56	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 $63.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90656.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Univ. of Vermont - Fletcher Allen Health Care is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90656.
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.