CMS Price Transparency Data

Hepatitis B vaccine

Facility: South Lincoln Medical Center - Cah

Billing Code: 90744 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90744
  • Insurance Median: $85
  • Cash Discount Price: $70
  • vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Hepatitis B vaccine at South Lincoln Medical Center - Cah is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 711 Onyx Street, Kemmerer, WY.
Cash / Self-Pay
$70

Average discount available for prompt cash payment at this facility.

Insurance Median
$85

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 $80 N/A
Health Infonet/First Choice - All Plans $89 N/A

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 711 Onyx Street, Kemmerer, WY 83101
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals