CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Boston Children's Hospital

Billing Code: 90716 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90716
Insurance Median: $672
Cash Discount Price: $455
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Varicella (chickenpox) vaccine at Boston Children's Hospital is $672. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $455. 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

$455

Average discount available for prompt cash payment at this facility.

Insurance Median

$672

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 (%)

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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
Blue Cross Blue Shield	$230 - $600	N/A
Cdphp	$445 - $773	N/A
Harvard Pilgrim	$462 - $614	N/A
United	$544 - $759	N/A
Aetna	$545 - $762	N/A
Mgb/Allways	$553 - $672	N/A
Tufts Public Plan	$558 - $560	N/A
United Ri Nj Ny	$573	N/A
Ambetter / Centene	$574	N/A
Carelon Strategies/Bhs	$591	N/A
UnitedHealthcare	$591 - $773	N/A
Carelon/Beacon	$682	N/A
Fallon	$693 - $701	N/A
Health New England	$734	N/A
Interlink Transplant	$773	N/A
Ets/Lifetrac	$773	N/A
Cigna	$773 - $820	N/A
Humana	$818	N/A
Community Health Options	$818	N/A
Multiplan/Phcs	$836 - $863	N/A
Coventry/Hcvm/First Health	$836	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 $455.
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 Boston Children's Hospital 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.