CMS Price Transparency Data
Hepatitis B vaccine
Facility: Sheridan Memorial Hospital
Billing Code: 90744 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90744
- Insurance Median: $93
- Cash Discount Price: $84
- vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Hepatitis B vaccine at Sheridan Memorial Hospital is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1401 W 5Th St, Sheridan, WY.
Cash / Self-Pay
$84
Average discount available for prompt cash payment at this facility.
Insurance Median
$93
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
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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 |
|---|---|---|
| Blue Cross Blue Shield | $62 - $112 | N/A |
| Wy School Boards-All Plans | $62 - $112 | N/A |
| UnitedHealthcare | $64 - $115 | N/A |
| C1 Employee - All Plans | $67 - $121 | N/A |
| Casper Opco LLC - All Plans | $67 - $121 | N/A |
| First Health Comm - All Plans | $67 - $121 | N/A |
| Miscellaneous-All Plans | $67 - $121 | N/A |
| Cigna | $69 - $125 | N/A |
| Wise Provider Network-All Plans | $69 - $125 | N/A |
| Ebms - All Plans | $71 - $128 | N/A |
| First Choice Comm - All Plans | $71 - $128 | N/A |
| PHCS Multiplan-All Plans | $71 - $128 | N/A |
| Three Rivers-All Plans | $71 - $128 | N/A |
| Pacificsource-All Plans | $75 - $135 | N/A |