CMS Price Transparency Data
Flu vaccine (high dose)
Facility: Ann & Robert H Lurie Childrens Hospital of Chicago
Billing Code: 90656 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90656
- Insurance Median: $119
- Cash Discount Price: $106
- vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Flu vaccine (high dose) at Ann & Robert H Lurie Childrens Hospital of Chicago is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $106. 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
$106
Average discount available for prompt cash payment at this facility.
Insurance Median
$119
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
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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) | $9 - $2,656 | N/A |
| Mercycare Health | $20 - $90 | N/A |
| Cigna | $23 - $174 | N/A |
| Blue Cross Blue Shield | $24 - $196 | N/A |
| Beacon Health Options | $28 - $122 | N/A |
| La Rabida Childrens Hospital | $28 - $122 | N/A |
| Aetna | $28 - $192 | N/A |
| Centegra | $33 - $147 | N/A |
| Independent Physicians at Mercy | $33 - $147 | N/A |
| Health Plus | $38 - $171 | N/A |
| Ui Health | $38 - $171 | N/A |
| Presence Health Partners | $38 - $171 | N/A |
| Northwest Community Healthcare | $38 - $171 | N/A |
| West Suburban Health Providers | $38 - $171 | N/A |
| St. Francis | $38 - $171 | N/A |
| Methodist First Choice | $38 - $171 | N/A |
| Imagine Health | $38 - $171 | N/A |
| Advanced Physicians Association IPA | $38 - $171 | N/A |
| Swedish Covenant Physician Partners | $41 - $183 | N/A |
| Shriners Hospital | $41 - $183 | N/A |
| Macneal Health | $44 - $196 | N/A |
| American Psych Systems | $44 - $196 | N/A |
| Magellan | $44 - $900 | N/A |
| Health Alliance | $44 - $196 | N/A |
| Healthlink Inc. | $45 - $202 | N/A |
| Hfn Inc | $47 - $220 | N/A |
| Humana | $47 - $208 | N/A |
| Cofinity | $47 - $208 | N/A |
| Principal Healthcare | $47 - $208 | N/A |
| St. Elizabeth | $47 - $208 | N/A |
| Healthstar | $48 - $215 | N/A |
| First Health | $48 - $215 | N/A |
| Preferred Health Network | $48 - $215 | N/A |
| Sagamore Health Network | $48 - $215 | N/A |
| Swedish American | $50 - $220 | N/A |
| Private Health Care System | $50 - $220 | N/A |
| Employer's Coalition on Health | $50 - $220 | N/A |
| Benchmark Health | $50 - $220 | N/A |
| Beech Street | $50 - $220 | N/A |
| Security Health Plan | $50 - $220 | N/A |
| Wellmark/Healthnetwork | $51 - $225 | N/A |
| Wea Insurance Group | $52 - $232 | N/A |
| Health Smart | $52 - $232 | N/A |
| National Provider Network | $52 - $232 | N/A |
| Integrated Health Plan | $52 - $232 | N/A |
| Multiplan | $52 - $232 | N/A |
| UnitedHealthcare | $75 - $147 | N/A |
| Unicare | $3,678 - $8,500 | N/A |