CMS Price Transparency Data
Tdap vaccine (tetanus, diphtheria, pertussis)
Facility: Cody Regional Health
Billing Code: 90715 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90715
- Insurance Median: $122
- Cash Discount Price: $114
- vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at Cody Regional Health is $122. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. 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
$114
Average discount available for prompt cash payment at this facility.
Insurance Median
$122
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 | $61 - $62 | N/A |
| Cigna | $105 - $107 | N/A |
| Christian Hlthcare - All Plans | $106 - $108 | N/A |
| Blue Cross Blue Shield | $114 - $129 | N/A |
| First Choice Health - All Plans | $119 - $122 | N/A |
| Medica Comm - All Other Plans | $119 - $122 | N/A |
| Mountain Health - All Plans | $119 - $122 | N/A |
| Pacific Source - All Plans | $119 - $122 | N/A |
| Rocky Mtn Admin - All Plans | $119 - $122 | N/A |
| Interwest Health PPO - All Plans | $121 - $125 | N/A |
| First Health Ntwrk-All Plans | $123 - $126 | N/A |
| Humana | $123 - $126 | N/A |
| UnitedHealthcare | $123 - $126 | N/A |
| Three Rivers - All Plans | $125 - $129 | N/A |