CMS Price Transparency Data

Typhoid vaccine

Facility: Childrens Hospital of Wisconsin Fox Valley

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $490
Cash Discount Price: $317
vs. Medicare Baseline: 1.55x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at Childrens Hospital of Wisconsin Fox Valley is $490. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $317. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 1.55x the Medicare baseline. Located in 130 Second St, Neenah, WI.

Cash / Self-Pay

$317

Average discount available for prompt cash payment at this facility.

Insurance Median

$490

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$315.22

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $315.22 (100%)

Cash / Self-Pay: $317 (101%)

Insurance Median: $490 (155%)

Cash: $317 (101% of Medicare)

Ins. Median: $490 (155% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $315.22 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

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
Froedtert Health	$404 - $490	128%
Medical College of Wisconsin	$404	128%
Network Health Plan	$411	130%
UnitedHealthcare	$424 - $687	135%
Aspirus Health Plan	$433	137%
Common Ground Healthcare Cooperative	$433 - $490	137%
Trilogy Health Solutions	$433 - $490	137%
Wps Health Plan	$438 - $519	139%
Advocate Aurora Healthcare	$444	141%
Blue Cross Blue Shield	$450 - $548	143%
Centivo	$450	143%
Health Partners	$450 - $508	143%
Employer Health Care Alliance Cooperative	$453	144%
Dean Health Plan	$461	146%
Group Health Cooperative of Eau Claire	$461	146%
Oan LLC	$461	146%
Security Health Plan	$479	152%
Health Payment Systems	$488	155%
Praire States	$490	155%
Quartz Health Insurance	$490	155%
Sheboygan Employer's Health Network	$490	155%
America's PPO	$502	159%
Aetna	$513	163%
Bellin Thedacare	$519	165%
Cigna	$519	165%
Group Health Cooperative of South Central Wisconsin	$519	165%
Healthsmart	$519	165%
Prevea Health Network	$519	165%
Multiplan	$525 - $548	167%
Coventry Health Care	$548	174%

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 $317.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90675.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Childrens Hospital of Wisconsin Fox Valley is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90675.
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.