CMS Price Transparency Data

MMR vaccine (measles, mumps, rubella)

Facility: Charleston Area Medical Center

Billing Code: 90707 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90707
Insurance Median: $119
Cash Discount Price: $238
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a MMR vaccine (measles, mumps, rubella) at Charleston Area Medical Center is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $238. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 501 Morris Street, Charleston, WV.

Cash / Self-Pay

$238

Average discount available for prompt cash payment at this facility.

Insurance Median

$119

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 (%)

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Commercial Insurance Negotiated Rates

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

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
The Health Plan of West Virginia Inc.	$56 - $231	N/A
Unicare Health Plan of West Virginia Inc.	$56	N/A
Triwest VA	$58	N/A
Choicecare Network	$60 - $234	N/A
Optimum Choice Inc.	$60	N/A
Blue Cross Blue Shield	$60 - $217	N/A
Aetna	$60 - $234	N/A
UnitedHealthcare	$61 - $234	N/A
West Virginia Senior Advantage Inc.	$63	N/A
Caresource	$89	N/A
Integrated Medical Solutions	$116	N/A
Naphcare	$119	N/A
Tricare	$143	N/A
City of Charleston	$179	N/A
Cigna	$222	N/A
Three Rivers Providers Network	$231	N/A
Multiplan	$234	N/A
Healthsmart	$234	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 $238.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90707.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Charleston Area Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90707.
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.