CMS Price Transparency Data

Typhoid vaccine

Facility: Piedmont Walton Hospital

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $1,197
Cash Discount Price: $787
vs. Medicare Baseline: 3.80x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at Piedmont Walton Hospital is $1,197. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $787. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 3.80x the Medicare baseline. Located in 2151 W Spring Street, Monroe, GA.

Cash / Self-Pay

$787

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,197

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: $787 (250%)

Insurance Median: $1,197 (380%)

Cash: $787 (250% of Medicare)

Ins. Median: $1,197 (380% 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 380% of the Medicare baseline (a markup of 280%). 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
Medicaid / KanCare	$166 - $1,174	53%
UnitedHealthcare	$624	198%
Cigna	$860	273%
Blue Cross Blue Shield	$1,162 - $1,221	369%
Alliant Health Plans of Georgia [10952]	$1,784	566%
First Health [10303]	$1,836	582%
Novanet [10819]	$1,967	624%
Multiplan [10600]	$2,099	666%
PHCS [10601]	$2,099	666%
Kaiser [10500]	$2,230	707%
Beechstreet [10800]	$2,361	749%

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 $787.
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 Piedmont Walton 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.