CMS Price Transparency Data
Flu vaccine (high dose)
Facility: Mercyone Oelwein Medical Center
Billing Code: 90656 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90656
- Insurance Median: $29
- Cash Discount Price: $61
- vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Flu vaccine (high dose) at Mercyone Oelwein Medical Center is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $61. 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
$61
Average discount available for prompt cash payment at this facility.
Insurance Median
$29
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
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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 |
|---|---|---|
| Medicare (plans) | $11 - $44 | N/A |
| Iowa Total Care | $12 - $40 | N/A |
| Medicaid / KanCare | $12 - $40 | N/A |
| Blue Cross Blue Shield | $12 - $42 | N/A |
| UnitedHealthcare | $13 - $88 | N/A |
| Aetna | $14 - $94 | N/A |
| Amish Hospital Aid | $16 - $56 | N/A |
| Centivo | $18 - $63 | N/A |
| Ambetter / Centene | $21 - $71 | N/A |
| Medical Associates | $22 - $75 | N/A |
| Health Choices | $22 - $75 | N/A |
| Wc Domestic | $23 | N/A |
| Blue Shield - PA (Highmark) | $23 | N/A |
| Blue Benefit Administrators of Massachusetts | $23 | N/A |
| Bcn Domestic | $23 | N/A |
| Blue Shield - Wa (Regence) | $23 | N/A |
| Blue Shield - Ny Highmark Northeastern | $23 | N/A |
| Pre-Employment | $23 | N/A |
| Kaiser Domestic | $23 | N/A |
| Blue Shield - Id (Regence) | $23 | N/A |
| Blue Shield - Ca | $23 | N/A |
| Blue Distinction Transplant | $23 | N/A |
| Blue Shield - Ny Highmark Western | $23 | N/A |
| Blue Care Network | $23 | N/A |
| Claimdoc | $25 - $84 | N/A |
| Nova | $25 - $84 | N/A |
| Geha | $26 - $88 | N/A |
| Allied Benefit Systems | $28 - $94 | N/A |
| Medical Mutual | $28 - $94 | N/A |
| Christian Brother Services | $28 - $94 | N/A |
| Trustmark Small Business Benefits | $28 - $94 | N/A |
| Meritain | $28 - $94 | N/A |
| Luminare Health | $28 - $94 | N/A |
| 1199 National Benefit Fund | $28 - $94 | N/A |
| Asr Health Benefits | $28 - $94 | N/A |
| First Health | $28 - $94 | N/A |
| Lucent Health | $28 - $94 | N/A |
| Coventry | $28 - $94 | N/A |
| Webtpa | $28 - $94 | N/A |
| Auxiant | $29 - $100 | N/A |
| Midlands Choice | $29 - $100 | N/A |
| Multiplan | $29 - $99 | N/A |
| Medica | $29 - $100 | N/A |
| Midlands | $29 - $100 | N/A |
| Health Partners | $29 - $99 | N/A |
| Cigna | $29 - $100 | N/A |
| Crime Victim Assistance | $30 - $102 | N/A |
| Iowa Dept of Public Health | $30 - $102 | N/A |