CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: Fort Memorial Hospital

Billing Code: 90700 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$28
modeled fair price · typically $12–$42
modeled estimate · not a bill or quote
What this hospital charges insurers
$11
Below the fair price — a good deal
about $17 under the fair price
Fair price $28 This hospital $11

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

One of the lower prices — 6 of 8 other WI hospitals charge more for the same procedure.

Cheapest $10 Priciest $31

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a DTaP vaccine (diphtheria, tetanus, pertussis) is about $28. Fort Memorial Hospital charges insurers about $11 — below the fair price — a good deal. Located in Fort Atkinson, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $11 - $37 —
Blue Cross Blue Shieldmajor $11 —
Humanamajor $32 —
Dean Health Plan $11 —
Molina $24 —
Quartz $11 —
+ 2 smaller / regional plans $11 - $257
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 611 Sherman Ave E, Fort Atkinson, WI 53538
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals