CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Sunrise Hospital and Medical Center

Billing Code: 90715 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90715
Insurance Median: $39
Cash Discount Price: $192
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at Sunrise Hospital and Medical Center is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $192. 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

$192

Average discount available for prompt cash payment at this facility.

Insurance Median

$39

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
Sierra	$18 - $85	N/A
Humana	$25 - $39	N/A
Select Health	$28 - $34	N/A
Healthcare Partners of Nv	$38	N/A
United	$39 - $85	N/A
Health Net	$39	N/A
Community Care Health	$39	N/A
Aetna	$39 - $104	N/A
Blue Cross Blue Shield	$39 - $346	N/A
Caresource	$39	N/A
Alignment Health Plan	$39	N/A
Caremore	$41	N/A
Hometown Health Providers	$45 - $68	N/A
Legacy Provider Network	$46	N/A
Corvel	$48 - $51	N/A
Comp-Med Workers Comp	$49	N/A
Silver Summit	$49	N/A
Olympus Medsave USA	$51 - $260	N/A
Imperial Nv	$52	N/A
Cigna	$53 - $129	N/A
Culinary Health Fund	$59	N/A
Cmn Global	$145	N/A
Nv Health & Welfare Trust	$208	N/A
Multiplan	$218 - $253	N/A
Medcare International	$260	N/A
First Health	$277	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 $192.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90715.

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 90715.
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.