CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 90716 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90716
Insurance Median: $188
Cash Discount Price: $518
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Varicella (chickenpox) vaccine at HCA Florida Fort Walton-Destin Hospital is $188. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $518. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$518

Average discount available for prompt cash payment at this facility.

Insurance Median

$188

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
Blue Cross Blue Shield	$25 - $134	N/A
Aetna	$36 - $155	N/A
Simply	$80	N/A
United	$107 - $611	N/A
Corvel Corporation	$158	N/A
Prime Health	$162	N/A
Molina Healthcare	$166	N/A
Careworks (Rockport Community)	$167	N/A
Humana	$188	N/A
Plotkin Health	$259	N/A
Prime Health Sheriff	$259	N/A
Avmed	$259	N/A
Naphcare	$337	N/A
Evolutions Healthcare	$337 - $466	N/A
Multiplan	$404 - $440	N/A
Evernorth	$414	N/A
PPO Next	$440	N/A
Novanet	$466	N/A
Beacon Health Options	$518	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 $518.
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 Fort Walton-Destin 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.