CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: Sunrise Hospital and Medical Center

Billing Code: 90700 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90700
Insurance Median: $36
Cash Discount Price: $244
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a DTaP vaccine (diphtheria, tetanus, pertussis) at Sunrise Hospital and Medical Center is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $244. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.

Cash / Self-Pay

$244

Average discount available for prompt cash payment at this facility.

Insurance Median

$36

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 (%)

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
Humana	$8 - $32	N/A
Caresource	$28	N/A
United	$29 - $115	N/A
Aetna	$31 - $166	N/A
Health Net	$31 - $32	N/A
Imperial Nv	$32 - $82	N/A
Cigna	$32 - $78	N/A
Blue Cross Blue Shield	$33 - $549	N/A
Sierra	$41 - $80	N/A
Select Health	$63 - $75	N/A
Legacy Provider Network	$73	N/A
Corvel	$77 - $82	N/A
Comp-Med Workers Comp	$79	N/A
Olympus Medsave USA	$81 - $412	N/A
Cmn Global	$89 - $231	N/A
Nv Health & Welfare Trust	$127 - $329	N/A
Multiplan	$133 - $401	N/A
Medcare International	$158 - $412	N/A
First Health	$169 - $439	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 $244.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sunrise Hospital and Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90700.
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.