CMS Price Transparency Data

MMR vaccine (measles, mumps, rubella)

Facility: Grandview Medical Center

Billing Code: 90707 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90707
Insurance Median: $479
Cash Discount Price: $170
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a MMR vaccine (measles, mumps, rubella) at Grandview Medical Center is $479. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $170. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 3690 Grandview Parkway, Birmingham, AL.

Cash / Self-Pay

$170

Average discount available for prompt cash payment at this facility.

Insurance Median

$479

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 (%)

Input your details and click calculate to compare out-of-pocket costs.

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	$47	N/A
Medicaid / KanCare	$98	N/A
Self Pay	$131 - $209	N/A
UnitedHealthcare	$132 - $392	N/A
Bp Health Advocate	$218	N/A
Aetna	$242	N/A
Viva Health	$261 - $479	N/A
Choicecare	$305	N/A
Alamed	$305	N/A
Drummond	$305	N/A
Ag Administrators	$305	N/A
American Employee Alliance	$348	N/A
Value Options	$436	N/A
Healthchoice	$436 - $523	N/A
First Health	$523 - $681	N/A
Multiplan	$531 - $610	N/A
Blue Bell Creameries	$610	N/A
USA PPO	$653	N/A
Natl Comp Care	$653	N/A
Coventry Work Comp Al	$681	N/A
Novanet	$703	N/A
Alabama Wc	$740	N/A
Cal-Med	$740	N/A
Corvel	$740	N/A
Associated Admin	$784	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 $170.
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 Grandview 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.