CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: HCA Florida Osceola Hospital

Billing Code: 90716 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90716
Insurance Median: $32
Cash Discount Price: $65
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Varicella (chickenpox) vaccine at HCA Florida Osceola Hospital is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 700 West Oak Street, Kissimmee, FL.

Cash / Self-Pay

$65

Average discount available for prompt cash payment at this facility.

Insurance Median

$32

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
Blue Cross Blue Shield	$4 - $13	N/A
Aetna	$4 - $19	N/A
Truli for Health	$6	N/A
Simply	$10	N/A
Evolutions	$15	N/A
Molina Healthcare	$17	N/A
United	$22 - $380	N/A
Plotkin Health	$32	N/A
Prime Health Sheriff	$32	N/A
Avmed	$32	N/A
Multiplan	$49 - $55	N/A
Evernorth	$52	N/A
PPO Next	$55	N/A
Novanet	$58	N/A
Beacon Health Options	$65	N/A
Corvel Corporation	$157	N/A
Prime Health	$160	N/A
Careworks (Rockport Community)	$165	N/A
Humana	$188	N/A
American Health Plan	$15,000	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 $65.
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 HCA Florida Osceola Hospital 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.