Typhoid vaccine
Facility: Northeast Regional Medical Center
Billing Code: 90675 (HCPCS)
- CPT Billing Code: 90675
- Insurance Median: $931
- Cash Discount Price: $763
- vs. Medicare Baseline: 2.95x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $315.22 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 295% of the Medicare baseline (a markup of 195%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicare (plans) | $320 | 102% |
| UnitedHealthcare | $320 - $1,545 | 102% |
| Node VA | $320 | 102% |
| Blue Cross Blue Shield | $326 - $628 | 103% |
| Blue Access | $336 | 107% |
| Blue Pathway/Pathway X | $336 | 107% |
| Node Devoted Health McR Adv | $336 | 107% |
| Blue Prefrerred | $336 | 107% |
| Centurion Correctional | $400 | 127% |
| Self Pay | $450 - $1,133 | 143% |
| Home State Exchange | $576 | 183% |
| Cigna | $637 - $805 | 202% |
| Immergrun | $640 | 203% |
| Aetna | $697 - $1,718 | 221% |
| Access Health Services, LLC | $1,218 - $1,339 | 386% |
| Multiplan | $1,406 - $1,648 | 446% |
| Healthlink | $1,406 - $1,648 | 446% |
| Coventry Wc | $1,500 - $1,648 | 476% |
Consumer Guidance & Cost Commentary
For patients paying out-of-pocket, the cash price for the Typhoid vaccine at Northeast Regional Medical Center is $763, which is notably lower than the facility's gross charge of $1,967. While the facility is located in Kirksville, Missouri, the provided data does not include specific county or state average benchmarks for this procedure, so direct comparisons to regional pricing standards are not available. However, for those with high-deductible plans where insurance negotiated rates exceed the cash price, paying directly can result in immediate savings, provided the patient requests a self-pay classification and prompt-pay discount before scheduling to avoid automatic insurance billing.
Insurance coverage varies significantly among the 18 payers listed for this service, with rates ranging from a low of $320 to a high of $1,718. Notably, the Medicare benchmark rate for this code is $315.22, which serves as a scientifically validated baseline for evaluating pricing markups. Several commercial payers, including Aetna and Healthlink, have negotiated rates that exceed the Medicare amount, while others like Medicare plans and Node VA align closely with it. Patients should be aware that assuming an in-network plan offers the lowest cost is incorrect, as administrative structures and contract dynamics often inflate these rates; verifying the specific allowed amount for your plan is essential before proceeding.