CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Clovis Community Medical Center

Billing Code: 90715 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90715
Insurance Median: $145
Cash Discount Price: $260
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at Clovis Community Medical Center is $145. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $260. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.

Cash / Self-Pay

$260

Average discount available for prompt cash payment at this facility.

Insurance Median

$145

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 (%)

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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
Medi-Cal Partnership Health Plan of Ca	$43	N/A
Medi-Cal La Care Health	$43	N/A
Medi-Cal Kern Family Health	$43	N/A
Medi-Cal Inland Empire Health	$43	N/A
Ccs Stanislaus	$43	N/A
Blue Shield	$43 - $127	N/A
Medi-Cal Contra Costa Health Plan	$43	N/A
Ccs Mariposa	$43	N/A
Cal Caloptima	$43	N/A
Generic Care Out of County	$43	N/A
Fresno County Funded Specialty Care	$43	N/A
Santa Clara Family Health Plan - Premier Health	$43	N/A
Chdp	$43	N/A
Santa Clara Family Health Plan - Valley Health	$43	N/A
Genetically Handicapped Person	$43	N/A
Ccs Tulare	$43	N/A
Ccs Madera/Sacramento	$43	N/A
San Francisco Health Plan Medi-Cal	$43	N/A
Ccs Kern	$43	N/A
Blue Cross Blue Shield	$43 - $210	N/A
Medi-Cal Health Plan of San Mateo	$43	N/A
Ccs Merced	$43	N/A
Ccs Kings	$43	N/A
Medi-Cal Community Health Group	$43	N/A
Medi-Cal Alameda Alliance for Health	$43	N/A
Medi-Cal Cencal Health	$43	N/A
Medi-Cal Blue Shield Promise Health	$43	N/A
Gold Coast Medi-Cal	$43	N/A
Generic Ccs Other Counties	$43	N/A
Ccs Fresno	$43	N/A
Medi-Cal California Health & Wellness Plan	$43	N/A
Medi-Cal Molina	$43	N/A
Sante	$53 - $116	N/A
Sequoia Pace	$64	N/A
Health Plan of San Joaquin	$64	N/A
Adventist -McL Calviva Sub Cap	$71	N/A
Central Valley Medical Providers	$79 - $232	N/A
Community Care	$81 - $84	N/A
Healthnet	$82	N/A
Employer 90/40	$127 - $132	N/A
Aetna	$134 - $168	N/A
UnitedHealthcare	$167 - $174	N/A
Central Ca Indian Health	$175 - $182	N/A
Cigna	$176 - $184	N/A
Kaiser	$191 - $199	N/A
Healthsmart	$216 - $265	N/A
Network By Design	$222 - $232	N/A
Nx Health Network PPO	$222 - $232	N/A
Coventry Health Care (First Health Network)	$238 - $248	N/A
Generic Multiplan	$238 - $248	N/A
PHCS	$238 - $248	N/A
Humana	$270 - $281	N/A
Well Path (Cfmg)	$350 - $364	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 $260.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90715.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Clovis Community Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90715.
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.