CMS Price Transparency Data

Hepatitis B vaccine

Facility: Children's Hosp of Los Angeles

Billing Code: 90744 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90744
  • Insurance Median: $5
  • Cash Discount Price: $8
  • vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Hepatitis B vaccine at Children's Hosp of Los Angeles is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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
Medi-Cal $1 - $8 N/A
Molina $1 - $8 N/A
Inland Empire Health Plan $1 - $8 N/A
Shriners Hospital $2 N/A
Medicaid / KanCare $2 - $8 N/A
Incentive Health Network $3 N/A
Non-Contract Payors $3 N/A
Health Net $3 - $10 N/A
Beech Street $3 N/A
Choice Medical Group $4 N/A
Mercy Care $4 N/A
Exceptional Care Medical Group $4 - $8 N/A
Good Samaritan Medical Group $4 N/A
Aetna $4 N/A
Axminster Medical Group $4 N/A
Premier Physicians Ntwk $4 - $8 N/A
Altamed $4 - $8 N/A
National Healthcare Solutions $4 N/A
Facey Medical Group $4 N/A
Global Care Medical Group $4 - $8 N/A
Intl - Quality Health Management $4 - $8 N/A
Culinary Health Fund $4 - $8 N/A
St. John's Health Clinic $4 N/A
Book Md $4 N/A
Sansum Clinic $4 N/A
Health Care La IPA $4 - $8 N/A
Managed Care Systems $4 N/A
Staywell Insurance $4 N/A
Community Care $4 N/A
Intl - Global Excel Management $4 - $16 N/A
Bella Vista Med Grp $4 - $8 N/A
Citrus Valley Phys Grp $4 - $5 N/A
Accarent Health $4 N/A
Applecare Medical Group $4 - $8 N/A
Blue Shield $4 - $8 N/A
Emanate Health Medical Center Mmc $4 N/A
Kaiser $4 - $5 N/A
Centinela Valley IPA $4 - $8 N/A
Pioneer Prov Ntwk $4 N/A
Gemcare IPA $4 N/A
Intl - Global Medical Management $4 N/A
UnitedHealthcare $4 - $8 N/A
La Care $4 - $8 N/A
Calvo Selectcare $5 N/A
Emanate Health Medical Center Commercial $5 N/A
Plotkin Health $5 N/A
Prime Health Services $5 N/A
Preferred IPA - Commercial $5 N/A
Axis Services International $5 N/A
Blue Cross Blue Shield $5 - $46 N/A
Seaside Health Plan $5 - $8 N/A
Sierra Health and Life Insurance Company $5 N/A
Bright Medical Associates $5 N/A
Medicare (plans) $5 - $8 N/A
Cedar Sinai Med Grp $5 N/A
Serra Community Med Clinic - Commercial $5 N/A
Lakewood Health Plan $5 N/A
Ventura County Health Plan $5 N/A
Sanus Health $5 N/A
Marian Health Services $5 N/A
Alhambra Hospital Medical Center $5 - $8 N/A
Star Healthcare Network Commercial $5 N/A
Self-Pay $5 N/A
Intl - Concierge Healthcare Services $5 N/A
Private Hlthcare System $5 N/A
Redlands Community Hospital $5 N/A
Heritage Provider Network $5 - $8 N/A
Intl - Aixin Life Insurance Co $5 - $8 N/A
Access Medical Group $5 N/A
Los Angeles Medical Center IPA $5 - $8 N/A
Delta Health Systems $5 N/A
Seoul Medical Group $5 N/A
Intl - Erv Travel Services $5 - $6 N/A
Providence Health Network $5 N/A
Embassy - Saudi Arabia $5 N/A
Family Care Specialists $5 - $8 N/A
Intl - Msh China Enterprise Services $5 N/A
Allied Pacific IPA $5 - $8 N/A
Memorialcare Med Foundation $6 N/A
Embassy - Kuwait $6 N/A
Self-Pay International $6 N/A
Korean American Med Grp $6 N/A
Embassy - All Others $6 N/A
Primecare Medical Network $6 N/A
Prospect Medical Group $6 N/A
Associated Hispanic Physicians IPA $6 - $8 N/A
Beaver Medical Group $6 N/A
Angeles IPA $6 - $8 N/A
Interlink Health Services $6 N/A
Hispanic Physician IPA $6 - $8 N/A
Multiplan $6 N/A
Community Care IPA Mmc $8 N/A
Champus $8 N/A
Dignity Health $8 N/A
Pacific Alliance Medical Center $8 N/A
St Francis Medical Center $8 N/A
Serendib Healthways Mmc $8 N/A
Beverly Hospital $8 N/A
Employee Health Systems Med Grp $8 N/A
Karing Physicians Medical Group $8 N/A
Watts Healthcare Mmc $8 N/A
Point Comfort Underwriters $8 N/A
Hollywood Presbyterian Medical Center $8 N/A
Choc Health Alliance $8 N/A
Cencal Health $8 N/A
Avalon IPA $8 N/A
Care 1St $8 N/A
Caloptima $8 - $35 N/A
Accountable Health $8 N/A
Kern Family Health Plan $8 N/A
El Proyecto Del Barrio $8 N/A
Family Health Alliance Med Grp $8 N/A
Community Family Care IPA $8 N/A
Gold Coast Health Plan $8 N/A
Imperial Health Holdings Medical Group $8 N/A
Noble Community Medical Associates $8 N/A
California Pacific Physicians Medical Group $8 N/A
Cigna $8 N/A
Mabuhay Medical Group $8 N/A
Primary Care and Pediatric IPA $8 N/A
Valley Presbyterian Hospital $8 N/A
Souther California Hosp System - Mmc $8 N/A
Crown City Medical Group $8 N/A
Preferred IPA $8 N/A
San Judas Med Grp $8 N/A
Superior Choice Medical Group $8 N/A
White Memorial Medical Center $8 N/A
Southland San Gabriel Valley Medical Group $8 N/A
Serra Community Med Clinic $8 N/A
Southern Atlantic Medical Group Mmc $8 - $13 N/A
Healthy New Life Medical Corp $8 N/A
Asian Community Medical Group $8 N/A
Adventist Health Physicians $8 - $10 N/A
Cal Care IPA $8 N/A
Regent Medical Group $8 N/A

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4650 Sunset Blvd, Ms 108, Los Angeles, CA 90027
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens