CMS Price Transparency Data

Typhoid vaccine

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $553
Cash Discount Price: $375
vs. Medicare Baseline: 1.75x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at Mary Hitchcock Memorial Hospital is $553. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $375. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 1.75x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$375

Average discount available for prompt cash payment at this facility.

Insurance Median

$553

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$315.22

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $315.22 (100%)

Cash / Self-Pay: $375 (119%)

Insurance Median: $553 (175%)

Cash: $375 (119% of Medicare)

Ins. Median: $553 (175% of 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.

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
Amerihealth Caritas Nh	$108 - $172	34%
Beacon Health Strategies/Carelon	$117 - $182	37%
Wellsense Health Plan	$117 - $329	37%
Granite State Health Plan	$120 - $188	38%
Harvard Pilgrim Health Care of Ne	$213 - $1,166	68%
UnitedHealthcare	$314 - $1,246	100%
Blue Cross Blue Shield	$314 - $1,300	100%
Martin's Point Generations Advantage	$314	100%
Mvp	$314 - $1,000	100%
Martin's Point Health Care	$318 - $515	101%
Cigna	$323 - $1,024	102%
Aetna	$323 - $1,047	102%
Wellcare Health Plans	$326	103%
Ambetter / Centene	$329 - $1,031	104%
Tufts Health Plan	$347 - $870	110%
Mass General Brigham Health Plan	$549 - $928	174%
Maine Community Health Options	$609 - $1,097	193%
Coventry	$832 - $1,298	264%
First Health/Hcvm	$832 - $1,298	264%
PHCS	$861 - $1,343	273%
Corvel	$880 - $1,373	279%
Ccmsi	$909 - $1,417	288%

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 $375.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90675.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mary Hitchcock Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90675.
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.