CMS Price Transparency Data
Varicella (chickenpox) vaccine
Facility: Regional Medical Center
Billing Code: 90716 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90716
- Insurance Median: $522
- Cash Discount Price: $132
- vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Varicella (chickenpox) vaccine at Regional Medical Center is $522. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $132. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 709 W Main Street, Manchester, IA.
Cash / Self-Pay
$132
Average discount available for prompt cash payment at this facility.
Insurance Median
$522
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 |
|---|---|---|
| Wellmark | $174 | N/A |
| Medical Associates Health Plan - Tri | $870 | N/A |