CMS Price Transparency Data

Typhoid vaccine

Facility: Children's Healthcare of Atlanta at Scottish Rite

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $1,919
Cash Discount Price: $2,743
vs. Medicare Baseline: 6.09x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at Children's Healthcare of Atlanta at Scottish Rite is $1,919. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,743. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 6.09x the Medicare baseline. Located in 1001 Johnson Ferry Road, Atlanta, GA.

Cash / Self-Pay

$2,743

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,919

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: $2,743 (870%)

Insurance Median: $1,919 (609%)

Cash: $2,743 (870% of Medicare)

Ins. Median: $1,919 (609% 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 609% of the Medicare baseline (a markup of 509%). 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
Caresource [61]	$358	114%
Peachstate [43]	$358	114%
Amerigroup [102]	$412	131%
Cigna	$1,812 - $1,814	575%
United [5]	$1,819 - $1,821	577%
Blue Cross Blue Shield	$1,819 - $2,679	577%
Ambetter / Centene	$1,836 - $1,837	582%
Oscar [228]	$1,837 - $1,838	583%
Aetna	$1,845 - $1,847	585%
Caresource Marketplace Bronze/Silver/Gold [60]	$1,863 - $1,865	591%
Kaiser [6]	$1,867 - $1,868	592%
Sidecar Health [236]	$1,892 - $1,893	600%
Direct Employer Agreements [72]	$1,919 - $2,332	609%
Coventry [9]	$1,924 - $1,926	610%
Northeast Georgia Heatlh System [808]	$2,056 - $2,058	652%
Veracity Benefits [809]	$2,056 - $2,058	652%
First Health [74]	$2,058 - $2,060	653%
Secure Health [340]	$2,331 - $2,332	739%
PHCS [93]	$2,331 - $2,332	739%
Beech Street [71]	$2,468 - $2,470	783%
Multiplan [92]	$2,687 - $2,689	852%
Novanet [41]	$2,742 - $2,744	870%

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 $2,743.
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 Children's Healthcare of Atlanta at Scottish Rite 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.