CMS Price Transparency Data

Typhoid vaccine

Facility: Mercy Hospital of Buffalo

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $367
Cash Discount Price: $740
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at Mercy Hospital of Buffalo is $367. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $740. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 1.16x the Medicare baseline. Located in 565 Abbott Road, Buffalo, NY.

Cash / Self-Pay

$740

Average discount available for prompt cash payment at this facility.

Insurance Median

$367

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: $740 (235%)

Insurance Median: $367 (116%)

Cash: $740 (235% of Medicare)

Ins. Median: $367 (116% 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
No Fault [114001]	$130	41%
Federal Workers Compensation [500100]	$130	41%
Medicare (plans)	$323 - $367	102%
Humana	$323	102%
Cigna	$338	107%
Medicaid / KanCare	$338 - $435	107%
Molina Essential [100167]	$338	107%
Fallon Health [450115]	$338	107%
Seneca Nation [450119]	$338	107%
Hospice [550001]	$338	107%
Covid19 Hrsa [45013]	$338	107%
UnitedHealthcare	$354 - $466	112%
VA Veterans Affairs [700001]	$354	112%
Iha First Choice [800001]	$367	116%
Independent Health [100165]	$367	116%
Independent Health Essential [100166]	$367	116%
Ghi [100153]	$372	118%
Wellcare [450129]	$372	118%
UPMC Health Plan [100181]	$375 - $393	119%
Blue Cross Blue Shield	$383	122%
Univera Healthcare Essential [100170]	$435	138%
Univera Healthcare [100169]	$435	138%

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 $740.
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 Mercy Hospital of Buffalo 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.