CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: West Valley Medical Center

Billing Code: 90700 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90700
Insurance Median: $99
Cash Discount Price: $155
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a DTaP vaccine (diphtheria, tetanus, pertussis) at West Valley Medical Center is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $155. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1717 Arlington Street, Caldwell, ID.

Cash / Self-Pay

$155

Average discount available for prompt cash payment at this facility.

Insurance Median

$99

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
Molina	$17	N/A
Blue Cross Blue Shield	$17 - $147	N/A
Cigna	$36	N/A
Select Health Idaho (Eirmc Only)	$49	N/A
Regence Blue Shield	$50	N/A
Corizon Health	$57	N/A
True Blue	$61	N/A
United	$61 - $93	N/A
Pacificsource Health	$93	N/A
Moda	$97	N/A
St Luke's Health Partners	$101	N/A
Aetna	$123	N/A
Four Rivers Hospice	$124	N/A
Multiplan	$124	N/A
Humana	$130	N/A
Geha PPO USA	$132	N/A
Coventry First Health	$140	N/A
St Alphonsus Health	$140	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 $155.
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 West Valley 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.