CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: Ann & Robert H Lurie Childrens Hospital of Chicago

Billing Code: 90700 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90700
Insurance Median: $116
Cash Discount Price: $104
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a DTaP vaccine (diphtheria, tetanus, pertussis) at Ann & Robert H Lurie Childrens Hospital of Chicago is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 225 E Chicago Ave, Box 140, Chicago, IL.

Cash / Self-Pay

$104

Average discount available for prompt cash payment at this facility.

Insurance Median

$116

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
Medicare (plans)	$23 - $2,656	N/A
Mercycare Health	$51 - $59	N/A
Cigna	$57 - $114	N/A
Blue Cross Blue Shield	$59 - $128	N/A
La Rabida Childrens Hospital	$68 - $80	N/A
Beacon Health Options	$68 - $80	N/A
Aetna	$68 - $125	N/A
Independent Physicians at Mercy	$82 - $96	N/A
Centegra	$82 - $96	N/A
Ui Health	$96 - $112	N/A
St. Francis	$96 - $112	N/A
Imagine Health	$96 - $112	N/A
Health Plus	$96 - $112	N/A
Presence Health Partners	$96 - $112	N/A
Advanced Physicians Association IPA	$96 - $112	N/A
Northwest Community Healthcare	$96 - $112	N/A
Methodist First Choice	$96 - $112	N/A
West Suburban Health Providers	$96 - $112	N/A
Swedish Covenant Physician Partners	$102 - $120	N/A
Shriners Hospital	$102 - $120	N/A
Magellan	$109 - $900	N/A
Health Alliance	$109 - $128	N/A
Macneal Health	$109 - $128	N/A
American Psych Systems	$109 - $128	N/A
Healthlink Inc.	$113 - $132	N/A
Cofinity	$116 - $136	N/A
Principal Healthcare	$116 - $136	N/A
St. Elizabeth	$116 - $136	N/A
Humana	$116 - $136	N/A
Hfn Inc	$116 - $144	N/A
First Health	$120 - $141	N/A
Healthstar	$120 - $141	N/A
Sagamore Health Network	$120 - $141	N/A
Preferred Health Network	$120 - $141	N/A
Swedish American	$123 - $144	N/A
Security Health Plan	$123 - $144	N/A
Employer's Coalition on Health	$123 - $144	N/A
Private Health Care System	$123 - $144	N/A
Beech Street	$123 - $144	N/A
Benchmark Health	$123 - $144	N/A
Wellmark/Healthnetwork	$126 - $147	N/A
Wea Insurance Group	$130 - $152	N/A
Health Smart	$130 - $152	N/A
National Provider Network	$130 - $152	N/A
Integrated Health Plan	$130 - $152	N/A
Multiplan	$130 - $152	N/A
Unicare	$3,678 - $8,500	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 $104.
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 Ann & Robert H Lurie Childrens Hospital of Chicago 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.