CMS Price Transparency Data

Hepatitis B vaccine

Facility: Northeast Regional Medical Center

Billing Code: 90744 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90744
Insurance Median: $130
Cash Discount Price: $116
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hepatitis B vaccine at Northeast Regional Medical Center is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 315 S Osteopathy, Kirksville, MO.

Cash / Self-Pay

$116

Average discount available for prompt cash payment at this facility.

Insurance Median

$130

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
Tricare	$32	N/A
Node Champva	$32	N/A
Blue Access	$34	N/A
Blue Pathway/Pathway X	$34	N/A
Blue Prefrerred	$34	N/A
Medicare (plans)	$56 - $60	N/A
UnitedHealthcare	$58 - $229	N/A
Blue Cross Blue Shield	$58 - $93	N/A
Node Hospice Non Par Agree	$58 - $61	N/A
Node VA	$58 - $61	N/A
Node Devoted Health McR Adv	$59 - $63	N/A
Self Pay	$69 - $168	N/A
Centurion Correctional	$72 - $76	N/A
Cigna	$98 - $119	N/A
Home State Exchange	$104 - $110	N/A
Aetna	$107 - $255	N/A
Naphcare	$109 - $116	N/A
Immergrun	$115 - $122	N/A
Access Health Services, LLC	$187 - $199	N/A
Multiplan	$216 - $244	N/A
Healthlink	$216 - $244	N/A
Coventry Wc	$230 - $244	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 $116.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90744.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Northeast Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90744.
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.