CMS Price Transparency Data

Hepatitis B vaccine

Facility: Piedmont Walton Hospital

Billing Code: 90744 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90744
Insurance Median: $81
Cash Discount Price: $68
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hepatitis B vaccine at Piedmont Walton Hospital is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 2151 W Spring Street, Monroe, GA.

Cash / Self-Pay

$68

Average discount available for prompt cash payment at this facility.

Insurance Median

$81

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
Medicaid / KanCare	$20	N/A
UnitedHealthcare	$22 - $65	N/A
Medicare (plans)	$22 - $23	N/A
Georgia Health Advantage [30143]	$23	N/A
Clear Spring Health Care [30192]	$23	N/A
Cigna	$97 - $136	N/A
Blue Cross Blue Shield	$100 - $105	N/A
Alliant Health Plans of Georgia [10952]	$154	N/A
First Health [10303]	$159	N/A
Novanet [10819]	$170	N/A
Multiplan [10600]	$181	N/A
PHCS [10601]	$181	N/A
Kaiser [10500]	$193	N/A
Beechstreet [10800]	$204	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 $68.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90744.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Piedmont Walton Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90744.
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.