CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: Eastern Idaho Regional Medical Center

Billing Code: 90700 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90700
Insurance Median: $113
Cash Discount Price: $201
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a DTaP vaccine (diphtheria, tetanus, pertussis) at Eastern Idaho Regional Medical Center is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $201. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$201

Average discount available for prompt cash payment at this facility.

Insurance Median

$113

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
Blue Cross Blue Shield	$17 - $247	N/A
Molina	$17	N/A
Cigna	$36	N/A
Select Health Ichn Brightpath	$43 - $88	N/A
Select Health	$43 - $79	N/A
Select Health Idaho (Eirmc Only)	$45 - $83	N/A
Regence Blue Shield	$50	N/A
Aetna	$56 - $127	N/A
Doug Andrus Distributing	$57 - $104	N/A
Pacificsource Health	$60 - $140	N/A
University of Utah	$60 - $109	N/A
United	$61 - $150	N/A
Mountain Health Co-Op	$71 - $195	N/A
First Choice Health of Washington	$85 - $156	N/A
Moda	$88 - $162	N/A
Dmba	$91 - $168	N/A
Prime Health	$106 - $221	N/A
Geha PPO USA	$113 - $208	N/A
Triwest Healthcare Alliance	$113 - $208	N/A
Multiplan	$119 - $234	N/A
Humana	$119 - $219	N/A
Interwest Health	$128 - $234	N/A
St. John's Health Network	$128 - $234	N/A
First Choice of the Midwest	$128 - $234	N/A
Coventry First Health	$129 - $237	N/A
Shashone-Bannock Tribal Health	$142 - $260	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 $201.
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 Eastern Idaho Regional 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.