CMS Price Transparency Data

Hepatitis B vaccine

Facility: Porter Hospital Inc

Billing Code: 90744 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90744
  • Insurance Median: $58
  • Cash Discount Price: $87
  • vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Hepatitis B vaccine at Porter Hospital Inc is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $87. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 115 Porter Drive, Middlebury, VT.
Cash / Self-Pay
$87

Average discount available for prompt cash payment at this facility.

Insurance Median
$58

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

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Veterans Affairs Community Care Network $32 N/A
Fidelis Care $37 N/A
Martins Point $41 N/A
Veterans Choice $41 N/A
Mvp $41 - $81 N/A
UnitedHealthcare $41 - $86 N/A
Capital District Physicians' Health Plan $41 - $73 N/A
Aetna $41 N/A
Blue Cross Blue Shield $42 - $76 N/A
Wellpath $48 N/A
Harvard Pilgrim $70 N/A
Coventry $77 N/A
Cigna $79 N/A
Multiplan $83 N/A
Medical Corporation $83 N/A

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 115 Porter Drive, Middlebury, VT 05753
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals