CMS Price Transparency Data

MMR vaccine (measles, mumps, rubella)

Facility: Sanford Tracy Medical Center

Billing Code: 90707 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90707
Insurance Median: $200
Cash Discount Price: $192
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a MMR vaccine (measles, mumps, rubella) at Sanford Tracy Medical Center is $200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $192. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 251 Fifth Street East, Tracy, MN.

Cash / Self-Pay

$192

Average discount available for prompt cash payment at this facility.

Insurance Median

$200

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	$58 - $222	N/A
Sanford Health Plan Align	$94	N/A
Wellmark Sd	$100	N/A
Ucare	$100 - $211	N/A
UnitedHealthcare	$101 - $200	N/A
Medicare (plans)	$101	N/A
Aetna	$101 - $208	N/A
Health Partners	$101 - $192	N/A
Primewest	$103 - $116	N/A
Security Health Plan	$132	N/A
Sanford Health Plan	$189 - $223	N/A
Medica	$211 - $227	N/A
Multiplan	$216	N/A
Cigna	$216	N/A
Healthez	$216	N/A
First Choice Health Network	$216	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 $192.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90707.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sanford Tracy Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90707.
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.