CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Garfield County Public Hospital District #1

Billing Code: 90656 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90656
Insurance Median: $165
Cash Discount Price: $156
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Flu vaccine (high dose) at Garfield County Public Hospital District #1 is $165. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $156. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 66 North Sixth Street, Pomeroy, WA.

Cash / Self-Pay

$156

Average discount available for prompt cash payment at this facility.

Insurance Median

$165

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 (%)

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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
Cigna	$147	N/A
Three Rivers Provider Network - All Plans	$156	N/A
Premera First - All Plans	$165	N/A
Aetna	$165	N/A
First Choice Health Network - All Plans	$165	N/A
Coordinated Care - All Plans	$165	N/A
Multiplan Primary Network - All Other Plans	$169	N/A
Medical Cost Containment PPO - All Plans	$174	N/A
Provider Network of America - All Plans	$174	N/A
Multiplan Complementary	$174	N/A
Regence Blue Shield of Idaho - All Plans	$184	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 $156.
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 Garfield County Public Hospital District #1 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.