CMS Price Transparency Data

Flu vaccine (high dose)

Facility: St Josephs Community Hospital West Bend

Billing Code: 90656 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$28
modeled fair price · typically $19–$46
modeled estimate · not a bill or quote
Fair price $28 Cash price $11 Hospital's list price $20

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $7 - $24 —
Blue Cross Blue Shieldmajor $23 - $112 —
Aetnamajor $14 - $24 —
Cignamajor $19 —
Humanamajor $23 —
Health Net $24 —
HealthPartners $13 - $23 —
Molina $23 —
Security Health Plan $23 —
+ 15 smaller / regional plans $6 - $24
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 3200 Pleasant Valley Road, West Bend, WI 53095
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals