CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Mercy Regional Medical Center

Billing Code: 90656 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90656
Insurance Median: $116
Cash Discount Price: $35
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Flu vaccine (high dose) at Mercy Regional Medical Center is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 800 E Main, Ville Platte, LA.

Cash / Self-Pay

$35

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
Medicaid / KanCare	$14 - $116	N/A
McD HMO Amerigroup	$14	N/A
UnitedHealthcare	$14	N/A
McD HMO La Care	$14	N/A
Aetna	$14	N/A
McD HMO La Hlth Cr Connct	$14	N/A
McD HMO Com Hlth Solution	$15	N/A
Charity/Map	$35 - $116	N/A
Ppo/Manged Care	$58 - $116	N/A
Pp0/Manged Care	$58 - $116	N/A
American Postal Workers	$92	N/A
Work Comp	$104	N/A
McR American Hlth Adv	$116	N/A
Commerical Ip	$116	N/A
Medicare (plans)	$116	N/A
Tricare	$116	N/A
Mra Auto/Liability	$116	N/A
Commerical	$116	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 $35.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90656.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mercy Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90656.
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.