CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Kingman Regional Medical Center

Billing Code: 90716 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90716
Insurance Median: $142
Cash Discount Price: $52
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Varicella (chickenpox) vaccine at Kingman Regional Medical Center is $142. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 3269 Stockton Hill Road, Kingman, AZ.

Cash / Self-Pay

$52

Average discount available for prompt cash payment at this facility.

Insurance Median

$142

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
Cigna	$71 - $78	N/A
Health Plan of Nevada-All Other Plans	$85 - $93	N/A
Triwest - All Plans	$106 - $116	N/A
Health Choice Hie Exchange	$114 - $124	N/A
Multiplan-All Plans	$121 - $132	N/A
Three Rivers-All Plans	$131 - $143	N/A
America's Choice Provider Network-All Plans	$135 - $147	N/A
One Health Plan-All Plans	$142 - $155	N/A
Az Foundation-All Plans	$142 - $155	N/A
Universal Health-All Plans	$142 - $155	N/A
Mediversal-All Plans	$142 - $155	N/A
Humana	$162 - $258	N/A
UnitedHealthcare	$184 - $197	N/A
Apipa - Ahcccs-All Other Plans	$192	N/A
Health Choice Az	$192	N/A
Care 1St McAid	$202	N/A
Mercy Care Ahcccs Ddd	$211	N/A
Blue Cross Blue Shield	$231	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 $52.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90716.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Kingman Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90716.
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.