CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: Cody Regional Health

Billing Code: 90700 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90700
  • Insurance Median: $48
  • Cash Discount Price: $57
  • vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a DTaP vaccine (diphtheria, tetanus, pertussis) at Cody Regional Health is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 707 Sheridan Avenue, Cody, WY.
Cash / Self-Pay
$57

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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
Tricare $23 - $38 N/A
Cigna $40 - $66 N/A
Christian Hlthcare - All Plans $41 - $66 N/A
Blue Cross Blue Shield $44 - $79 N/A
First Choice Health - All Plans $46 - $75 N/A
Medica Comm - All Other Plans $46 - $75 N/A
Mountain Health - All Plans $46 - $75 N/A
Pacific Source - All Plans $46 - $75 N/A
Rocky Mtn Admin - All Plans $46 - $75 N/A
First Health Ntwrk-All Plans $47 - $77 N/A
Humana $47 - $77 N/A
Interwest Health PPO - All Plans $47 - $76 N/A
UnitedHealthcare $47 - $77 N/A
Three Rivers - All Plans $48 - $79 N/A

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 707 Sheridan Avenue, Cody, WY 82414
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals