CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Memorial Hospital Miramar

Billing Code: 90716 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90716
Insurance Median: $243
Cash Discount Price: $262
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Varicella (chickenpox) vaccine at Memorial Hospital Miramar is $243. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $262. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1901 Sw 172Nd Ave, Miramar, FL.

Cash / Self-Pay

$262

Average discount available for prompt cash payment at this facility.

Insurance Median

$243

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
Cigna	$55 - $228	N/A
Avmed	$55 - $115	N/A
UnitedHealthcare	$60 - $160	N/A
Community Care Plan	$64 - $118	N/A
Molina	$67 - $120	N/A
Aetna	$75 - $86	N/A
Amerihealth Caritas	$124	N/A
Employers Health Network	$124 - $139	N/A
Sunshine	$157	N/A
Emerging Therapy Solutions	$225	N/A
Allianz	$243	N/A
Worldwide Medical Assurance	$243	N/A
National Healthcare Solutions	$243	N/A
Quebec Inc	$243	N/A
Global Reach Health	$243	N/A
Global Health Claims	$243 - $318	N/A
Axis	$243	N/A
Desjardins Financial Security Life Assurance Company	$243	N/A
Global Medical Management	$243	N/A
Quality Health Management	$243	N/A
Star Healthcare Network	$243	N/A
Worldwide Managed Care Partners	$243	N/A
World Medical Care	$243	N/A
Plotkin	$243	N/A
Dimension Health	$253	N/A
Health Sun	$281	N/A
Gallagher Bassett	$300	N/A
Employers Choice Network	$300	N/A
Broward County	$718 - $2,726	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 $262.
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 Memorial Hospital Miramar 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.