CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Shirley Ryan Abilitylab

Billing Code: 90716 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90716
Insurance Median: $649
Cash Discount Price: $556
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Varicella (chickenpox) vaccine at Shirley Ryan Abilitylab is $649. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $556. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 355 E Erie St, Chicago, IL.

Cash / Self-Pay

$556

Average discount available for prompt cash payment at this facility.

Insurance Median

$649

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
Uic Physician Group-Campuscare	$463	N/A
Hfn	$468 - $834	N/A
Coventry Workers Comp	$483	N/A
Corvel Corporation	$483	N/A
Personalcare Insurance of Il/Firsthealth Grp Corp/Coventryhealth and Life Insurance Co	$493 - $788	N/A
State of Illinois	$493	N/A
University of Chicago Practice Plan	$556 - $602	N/A
Affordable Health Care Concepts	$557	N/A
Multiplan	$602	N/A
Health Care Services Corporation DBA Managed Care Network Preferred	$631	N/A
Gallagher Benefit Administrators	$695	N/A
Unicare Life and Health Insurance	$723	N/A
Private Healthcare Systems	$741	N/A
Resurrection Health Care Preferred	$741	N/A
Uic Physician Group	$751	N/A
Cofinity Aka Ppom	$788	N/A
Health Payors Organization	$788	N/A
Healthnetwork	$816	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 $556.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90716.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Shirley Ryan Abilitylab is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90716.
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.