CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Astria Sunnyside Hospital

Billing Code: 90715 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90715
Insurance Median: $73
Cash Discount Price: $75
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at Astria Sunnyside Hospital is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.

Cash / Self-Pay

$75

Average discount available for prompt cash payment at this facility.

Insurance Median

$73

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
Medicare (plans)	$29 - $33	N/A
Healthcomp_Ihs	$32	N/A
VA	$32	N/A
Molina	$32	N/A
Tricare	$32	N/A
Humana	$32 - $118	N/A
Aetna	$32 - $115	N/A
Medicaid / KanCare	$32 - $40	N/A
Regence	$67	N/A
Cigna	$79	N/A
Li	$80	N/A
First_Choice	$98	N/A
Tpsc	$102	N/A
Kaiser	$103	N/A
Premera	$107	N/A
UnitedHealthcare	$111	N/A
Fhpw	$115	N/A
Healthcomp	$118	N/A
Bcchp	$131	N/A
Great_Rivers	$131	N/A
Zenith	$131	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 $75.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90715.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Astria Sunnyside Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90715.
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.