CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Boston Children's Hospital

Billing Code: 90715 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90715
Insurance Median: $166
Cash Discount Price: $245
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at Boston Children's Hospital is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $245. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 300 Longwood Avenue, Boston, MA.

Cash / Self-Pay

$245

Average discount available for prompt cash payment at this facility.

Insurance Median

$166

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
Blue Cross Blue Shield	$40 - $162	N/A
Cdphp	$120 - $208	N/A
Harvard Pilgrim	$124 - $165	N/A
United	$146 - $204	N/A
Aetna	$147 - $205	N/A
Mgb/Allways	$149 - $181	N/A
Tufts Public Plan	$150 - $151	N/A
United Ri Nj Ny	$154	N/A
Ambetter / Centene	$155	N/A
Carelon Strategies/Bhs	$159	N/A
UnitedHealthcare	$159 - $208	N/A
Carelon/Beacon	$184	N/A
Fallon	$187 - $189	N/A
Health New England	$198	N/A
Ets/Lifetrac	$208	N/A
Cigna	$208 - $221	N/A
Interlink Transplant	$208	N/A
Community Health Options	$220	N/A
Humana	$220	N/A
Multiplan/Phcs	$225 - $232	N/A
Coventry/Hcvm/First Health	$225	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 $245.
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 Boston Children's Hospital 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.