CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Astria Sunnyside Hospital

Billing Code: 90716 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90716
Insurance Median: $106
Cash Discount Price: $109
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Varicella (chickenpox) vaccine at Astria Sunnyside Hospital is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. 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

$109

Average discount available for prompt cash payment at this facility.

Insurance Median

$106

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)	$42 - $48	N/A
Humana	$47 - $172	N/A
Healthcomp_Ihs	$47	N/A
VA	$47	N/A
Molina	$47	N/A
Medicaid / KanCare	$47 - $59	N/A
Tricare	$47	N/A
Aetna	$47 - $168	N/A
Regence	$98	N/A
Cigna	$115	N/A
Li	$117	N/A
First_Choice	$143	N/A
Tpsc	$149	N/A
Kaiser	$150	N/A
Premera	$155	N/A
UnitedHealthcare	$162	N/A
Fhpw	$168	N/A
Healthcomp	$172	N/A
Zenith	$191	N/A
Great_Rivers	$191	N/A
Bcchp	$191	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 $109.
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 Astria Sunnyside Hospital 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.