CMS Price Transparency Data

Hepatitis B vaccine

Facility: Cheshire Medical Center

Billing Code: 90744 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90744
Insurance Median: $38
Cash Discount Price: $23
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hepatitis B vaccine at Cheshire Medical Center is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$23

Average discount available for prompt cash payment at this facility.

Insurance Median

$38

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
Amerihealth Caritas Nh	$10 - $29	N/A
Wellsense Health Plan	$12 - $29	N/A
Granite State Health Plan	$14 - $29	N/A
Harvard Pilgrim Health Care of Ne	$18 - $39	N/A
Mass General Brigham Health Plan	$21 - $85	N/A
UnitedHealthcare	$27 - $64	N/A
Wellcare Health Plans	$28	N/A
Cigna	$28 - $42	N/A
Ambetter / Centene	$28	N/A
Tufts Health Plan	$28 - $54	N/A
Mvp	$28 - $42	N/A
Martin's Point Health Care	$28	N/A
Blue Cross Blue Shield	$28 - $207	N/A
Martin's Point Generations Advantage	$28	N/A
Aetna	$33 - $58	N/A
Maine Community Health Options	$38	N/A
First Health/Hcvm	$72	N/A
PHCS	$76	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 $23.
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 Cheshire 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.