CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Children's Healthcare of Atlanta at Scottish Rite

Billing Code: 90656 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90656
Insurance Median: $33
Cash Discount Price: $48
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Flu vaccine (high dose) at Children's Healthcare of Atlanta at Scottish Rite is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1001 Johnson Ferry Road, Atlanta, GA.

Cash / Self-Pay

$48

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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
Caresource [61]	$26	N/A
Peachstate [43]	$26	N/A
Amerigroup [102]	$30	N/A
United [5]	$32	N/A
Cigna	$32	N/A
Aetna	$32	N/A
Oscar [228]	$32	N/A
Blue Cross Blue Shield	$32 - $47	N/A
Ambetter / Centene	$32	N/A
Caresource Marketplace Bronze/Silver/Gold [60]	$33	N/A
Sidecar Health [236]	$33	N/A
Kaiser [6]	$33	N/A
Coventry [9]	$34	N/A
Direct Employer Agreements [72]	$34 - $41	N/A
Northeast Georgia Heatlh System [808]	$36	N/A
First Health [74]	$36	N/A
Veracity Benefits [809]	$36	N/A
PHCS [93]	$41	N/A
Secure Health [340]	$41	N/A
Beech Street [71]	$43	N/A
Multiplan [92]	$47	N/A
Novanet [41]	$48	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 $48.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90656.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Children's Healthcare of Atlanta at Scottish Rite is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90656.
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.