CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Connecticut Childrens Medical Center

Billing Code: 90656 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90656
Insurance Median: $33
Cash Discount Price: $29
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Flu vaccine (high dose) at Connecticut Childrens Medical Center is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. 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

$29

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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
UnitedHealthcare	$10 - $61	N/A
Golden Rule [100106]	$10 - $37	N/A
Harvard Pilgrim [1001134]	$10 - $55	N/A
Oxford [100103]	$10 - $37	N/A
Multiplan [1001126]	$15 - $64	N/A
Wellpoint [100150]	$16 - $57	N/A
Blue Cross Blue Shield	$16 - $57	N/A
Aetna	$16 - $63	N/A
Unicare [100148]	$16 - $57	N/A
Emblem Health Commercial [1001108]	$17 - $61	N/A
Connecticare [100105]	$17 - $61	N/A
Medicaid / KanCare	$17 - $61	N/A
Generic Multiplan [1001130]	$18 - $64	N/A
Cigna	$18 - $65	N/A
Health Partners [110229]	$18 - $65	N/A
Ultrabenefits/Comm [100181]	$18 - $64	N/A
Government Employees Hospital Assoc [100115]	$18 - $63	N/A
Great West Healthcare [100107]	$18 - $65	N/A
Cdphp/Comm [100199]	$18 - $64	N/A
Yale Health Plan [100162]	$18 - $63	N/A
Tufts Health Plan [100114]	$18 - $65	N/A
Meritain Health [100149]	$18 - $63	N/A
1199 National Benefit Fund [100134]	$18 - $63	N/A
Humana	$18 - $63	N/A
Mvp Health Plan [100144]	$18 - $65	N/A
Nippon Life Ins Co of America [100112]	$18 - $63	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 $29.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90656.

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 90656.
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.