CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: Connecticut Childrens Medical Center

Billing Code: 90700 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90700
Insurance Median: $69
Cash Discount Price: $51
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a DTaP vaccine (diphtheria, tetanus, pertussis) at Connecticut Childrens Medical Center is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 282 Washington Street, Hartford, CT.

Cash / Self-Pay

$51

Average discount available for prompt cash payment at this facility.

Insurance Median

$69

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	$37 - $74	N/A
Health Partners [110229]	$37 - $74	N/A
Great West Healthcare [100107]	$37 - $74	N/A
Mvp Health Plan [100144]	$37 - $74	N/A
Tufts Health Plan [100114]	$37 - $74	N/A
Golden Rule [100106]	$43 - $45	N/A
Harvard Pilgrim [1001134]	$43 - $62	N/A
Oxford [100103]	$43 - $45	N/A
UnitedHealthcare	$43 - $69	N/A
Blue Cross Blue Shield	$47 - $64	N/A
Unicare [100148]	$47 - $64	N/A
Wellpoint [100150]	$47 - $64	N/A
Multiplan [1001126]	$62 - $72	N/A
Aetna	$64 - $87	N/A
Medicaid / KanCare	$69	N/A
Emblem Health Commercial [1001108]	$69	N/A
Connecticare [100105]	$69	N/A
Ultrabenefits/Comm [100181]	$72	N/A
Generic Multiplan [1001130]	$72	N/A
Yale Health Plan [100162]	$72 - $87	N/A
Nippon Life Ins Co of America [100112]	$72 - $87	N/A
1199 National Benefit Fund [100134]	$72 - $87	N/A
Humana	$72 - $87	N/A
Government Employees Hospital Assoc [100115]	$72 - $87	N/A
Cdphp/Comm [100199]	$72	N/A
Meritain Health [100149]	$72 - $87	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 $51.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Connecticut Childrens Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90700.
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.