CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 90716 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90716
Insurance Median: $473
Cash Discount Price: $680
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Varicella (chickenpox) vaccine at Univ. of Vermont - Fletcher Allen Health Care is $473. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $680. 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

$680

Average discount available for prompt cash payment at this facility.

Insurance Median

$473

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	$136 - $671	N/A
Veterans Affairs Community Care Network	$176	N/A
Blue Cross Blue Shield	$191 - $570	N/A
Martins Point	$194	N/A
Aetna	$314	N/A
Capital District Physicians' Health Plan	$341 - $511	N/A
Wellpath	$374 - $375	N/A
Mvp	$473 - $545	N/A
Cigna	$473 - $665	N/A
Ebpa	$523 - $586	N/A
Magnacare	$543 - $545	N/A
St. Regis	$543	N/A
Harvard Pilgrim	$543 - $545	N/A
Coventry	$577 - $579	N/A
Nppn	$611 - $613	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 $680.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90716.

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 90716.
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.