CMS Price Transparency Data

Hepatitis B vaccine

Facility: Fort Memorial Hospital

Billing Code: 90744 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$31
modeled fair price · typically $17–$42
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
About the fair price
Fair price $31 This hospital $31

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

A typical price — 4 charge more and 3 charge less, among the 9 WI hospitals compared.

Cheapest $17 Priciest $32

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

A fair price for a Hepatitis B vaccine is about $31. Fort Memorial Hospital charges insurers about $31 — about the fair price. 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 - $31 —
Blue Cross Blue Shieldmajor $11 - $32 —
Humanamajor $31 —
Dean Health Plan $11 - $40 —
Quartz $11 - $30 —
+ 3 smaller / regional plans $11 - $257
Government programs also on file: Medicaid.

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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