CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Fort Memorial Hospital

Billing Code: 90716 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$159
modeled fair price · typically $48–$217
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
Below the fair price — a good deal
about $104 under the fair price
Fair price $159 This hospital $55

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 $53 Priciest $174

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

A fair price for a Varicella (chickenpox) vaccine is about $159. Fort Memorial Hospital charges insurers about $55 — 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 $52 - $197 —
Blue Cross Blue Shieldmajor $51 —
Humanamajor $199 —
Dean Health Plan $51 —
Molina $130 —
Quartz $51 —
+ 2 smaller / regional plans $55 - $295
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