CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Fishermen's Community Hospital

Billing Code: 90716 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90716
Insurance Median: $276
Cash Discount Price: $317
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Varicella (chickenpox) vaccine at Fishermen's Community Hospital is $276. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $317. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 3301 Overseas Hwy, Marathon, FL.

Cash / Self-Pay

$317

Average discount available for prompt cash payment at this facility.

Insurance Median

$276

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
Amerigroup	$76	N/A
UnitedHealthcare	$76 - $488	N/A
Medicaid / KanCare	$76 - $83	N/A
Wellcare	$79	N/A
Sunshine State	$80	N/A
Aetna	$82 - $374	N/A
Blue Cross Blue Shield	$82 - $488	N/A
Vista	$82	N/A
Medica Health Plan	$102	N/A
Medicare (plans)	$102 - $138	N/A
Leon Medical	$102	N/A
Humana	$112	N/A
Avmed	$113 - $404	N/A
Cigna	$117 - $390	N/A
Non Contracted	$179	N/A
International	$317	N/A
Amerihealth	$366	N/A
Dimension Health Plan	$366 - $439	N/A
Quality Health	$439	N/A
Affordable	$439	N/A
PHCS	$439	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 $317.
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 Fishermen's Community 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.