CMS Price Transparency Data

MMR vaccine (measles, mumps, rubella)

Facility: Porter Hospital Inc

Billing Code: 90707 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90707
Insurance Median: $233
Cash Discount Price: $345
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a MMR vaccine (measles, mumps, rubella) at Porter Hospital Inc is $233. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $345. 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

$345

Average discount available for prompt cash payment at this facility.

Insurance Median

$233

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
Fidelis Care	$148	N/A
Capital District Physicians' Health Plan	$165 - $292	N/A
Martins Point	$165	N/A
Veterans Affairs Community Care Network	$165	N/A
Mvp	$165 - $326	N/A
Aetna	$165	N/A
Veterans Choice	$165	N/A
UnitedHealthcare	$165 - $347	N/A
Blue Cross Blue Shield	$168 - $305	N/A
Wellpath	$193	N/A
Harvard Pilgrim	$280	N/A
Coventry	$308	N/A
Cigna	$318	N/A
Medical Corporation	$333	N/A
Multiplan	$333	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 $345.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90707.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Porter Hospital Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90707.
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.