CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: Mercyone Oelwein Medical Center

Billing Code: 90700 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90700
Insurance Median: $36
Cash Discount Price: $33
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a DTaP vaccine (diphtheria, tetanus, pertussis) at Mercyone Oelwein Medical Center is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 201 Eighth Avenue Se, Oelwein, IA.

Cash / Self-Pay

$33

Average discount available for prompt cash payment at this facility.

Insurance Median

$36

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
Medicare (plans)	$19 - $22	N/A
Medicaid / KanCare	$20	N/A
Iowa Total Care	$20	N/A
Blue Cross Blue Shield	$21 - $30	N/A
UnitedHealthcare	$22 - $44	N/A
Aetna	$24 - $47	N/A
Amish Hospital Aid	$28	N/A
Blue Benefit Administrators of Massachusetts	$30	N/A
Blue Distinction Transplant	$30	N/A
Pre-Employment	$30	N/A
Blue Shield - Ca	$30	N/A
Blue Shield - PA (Highmark)	$30	N/A
Kaiser Domestic	$30	N/A
Blue Shield - Ny Highmark Northeastern	$30	N/A
Blue Shield - Id (Regence)	$30	N/A
Blue Shield - Wa (Regence)	$30	N/A
Wc Domestic	$30	N/A
Blue Shield - Ny Highmark Western	$30	N/A
Bcn Domestic	$30	N/A
Blue Care Network	$30	N/A
Centivo	$31	N/A
Ambetter / Centene	$35	N/A
Health Choices	$38	N/A
Medical Associates	$38	N/A
Claimdoc	$42	N/A
Nova	$42	N/A
Geha	$44	N/A
First Health	$47	N/A
Trustmark Small Business Benefits	$47	N/A
Webtpa	$47	N/A
Medical Mutual	$47	N/A
Lucent Health	$47	N/A
Asr Health Benefits	$47	N/A
Meritain	$47	N/A
1199 National Benefit Fund	$47	N/A
Allied Benefit Systems	$47	N/A
Luminare Health	$47	N/A
Christian Brother Services	$47	N/A
Coventry	$47	N/A
Health Partners	$49	N/A
Multiplan	$49	N/A
Midlands	$50	N/A
Medica	$50	N/A
Midlands Choice	$50	N/A
Cigna	$50	N/A
Auxiant	$50	N/A
Iowa Dept of Public Health	$51	N/A
Crime Victim Assistance	$51	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 $33.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mercyone Oelwein Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90700.
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.