CMS Price Transparency Data

Typhoid vaccine

Facility: Fishermen's Community Hospital

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $759
Cash Discount Price: $739
vs. Medicare Baseline: 2.41x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at Fishermen's Community Hospital is $759. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $739. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 2.41x the Medicare baseline. Located in 3301 Overseas Hwy, Marathon, FL.

Cash / Self-Pay

$739

Average discount available for prompt cash payment at this facility.

Insurance Median

$759

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$315.22

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $315.22 (100%)

Cash / Self-Pay: $739 (234%)

Insurance Median: $759 (241%)

Cash: $739 (234% of Medicare)

Ins. Median: $759 (241% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $315.22 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 241% of the Medicare baseline (a markup of 141%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Amerigroup	$76	24%
UnitedHealthcare	$76 - $1,171	24%
Medicaid / KanCare	$76 - $83	24%
Wellcare	$79	25%
Sunshine State	$80	25%
Vista	$82	26%
Aetna	$82 - $897	26%
Blue Cross Blue Shield	$184 - $1,171	58%
Medica Health Plan	$232 - $246	74%
Leon Medical	$232 - $246	74%
Medicare (plans)	$232 - $332	74%
Humana	$252 - $268	80%
Avmed	$255 - $970	81%
Cigna	$264 - $937	84%
Non Contracted	$405 - $430	128%
International	$717 - $761	227%
Amerihealth	$827 - $878	262%
Dimension Health Plan	$827 - $1,054	262%
Affordable	$993 - $1,054	315%
PHCS	$993 - $1,054	315%
Quality Health	$993 - $1,054	315%

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 $739.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90675.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fishermen's Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90675.
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.