CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Kootenai Health

Billing Code: 90715 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90715
Insurance Median: $54
Cash Discount Price: $67
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at Kootenai Health is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 2003 Kootenai Health Way, Coeur D'Alene, ID.

Cash / Self-Pay

$67

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

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 Healthcare of Idaho	$16 - $50	N/A
Wellpoint	$28 - $33	N/A
Magellan	$28 - $33	N/A
Regence Blue Shield of Idaho	$35 - $74	N/A
Premera	$38 - $83	N/A
Aetna	$39 - $112	N/A
Blue Cross Blue Shield	$43 - $121	N/A
Group Health/Kaiser	$47 - $101	N/A
Mountain Health Co-Op	$49 - $104	N/A
Cigna	$51 - $112	N/A
UnitedHealthcare	$53 - $121	N/A
Interwest Health	$53 - $114	N/A
First Choice Health (Ameriben)	$54 - $116	N/A
Pacificsource	$64 - $94	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 $67.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90715.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Kootenai Health is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90715.
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.