CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Thedacare Medical Center - Wild Rose

Billing Code: 90715 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$57
modeled fair price · typically $34–$155
modeled estimate · not a bill or quote
What this hospital charges insurers
$9
Below the fair price — a good deal
about $48 under the fair price
Fair price $57 This hospital $9 Cash price $58 Hospital's list price $104

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Lowest price of the 9 WI hospitals we have prices for — a strong deal.

Cheapest $9 Priciest $38

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Tdap vaccine (tetanus, diphtheria, pertussis) is about $57. Thedacare Medical Center - Wild Rose charges insurers about $9, or about $58 in cash — below the fair price — a good deal. Located in Wild Rose, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $5 —
Blue Cross Blue Shieldmajor $5 - $15 —
Quartz $10 —
+ 2 smaller / regional plans $9 - $12
Government programs also on file: Medicare.

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: 601 Grove Ave, Wild Rose, WI 54984
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals