CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Crossing Rivers Health Medical Center

Billing Code: 90715 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90715
Insurance Median: $206
Cash Discount Price: $216
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at Crossing Rivers Health Medical Center is $206. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $216. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 37868 Us Hwy 18, Prairie Du Chien, WI.

Cash / Self-Pay

$216

Average discount available for prompt cash payment at this facility.

Insurance Median

$206

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Amerigroup McAid-All Other Plans	$64	N/A
Iowa Total Care McAid-All Plans	$64	N/A
Security Hlth McR Adv	$91	N/A
UnitedHealthcare	$91	N/A
Blue Cross Blue Shield	$91 - $210	N/A
Amerigroup McR Adv	$91	N/A
Humana	$92 - $208	N/A
Quartz - All Plans	$173	N/A
Medica Hp Solutions	$206	N/A
Medica Comm - All Other Plans	$206	N/A
Dean Health Plan - All Plans	$206	N/A
Security Hlth Comm - All Other Plans	$206	N/A
Wea Provider Ntwrk - All Plans	$208	N/A
Health Trad Hp - All Plans	$208	N/A
Group Health Co-Op - All Plans	$210	N/A
Medical Associates Hp - All Plans	$210	N/A
Health Partners - All Plans	$210	N/A
Wps - All Plans	$210	N/A
Preferred Health Choice - All Plans	$210	N/A
Cigna	$210	N/A
First Health - All Plans	$210	N/A
Geha - All Plans	$210	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $216.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90715.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Crossing Rivers Health Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90715.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.