CMS Price Transparency Data

Hepatitis B vaccine

Facility: Bailey Medical Center, LLC

Billing Code: 90744 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90744
Insurance Median: $29
Cash Discount Price: $34
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hepatitis B vaccine at Bailey Medical Center, LLC is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 10502 North 110Th East Avenue, Owasso, OK.

Cash / Self-Pay

$34

Average discount available for prompt cash payment at this facility.

Insurance Median

$29

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
UnitedHealthcare	$22	N/A
Ihs Health Services [1535]	$22	N/A
Blue Cross Blue Shield	$22	N/A
Nomi Health [7090]	$22	N/A
Humana	$22	N/A
Devoted Health Inc [7095]	$23	N/A
Hooray Health [8000]	$29	N/A
Osma Health Network [2345]	$29	N/A
Oscar Insurance Company [7005]	$29	N/A
Healthcare Highways [2210]	$29	N/A
Oncology Patient Assistance Programs [2295]	$29	N/A
Consociate Care [6085]	$39	N/A
Web Tpa [2115]	$50	N/A
Aetna	$50	N/A
Coventry Healthcare [1320]	$50	N/A
Coresource [1315]	$50	N/A
Meritain Health [1655]	$50	N/A
Imagine Health [6025]	$58	N/A
Global Health [1430]	$60	N/A
Beacon Health Options Behavioral Health [2890]	$60	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 $34.
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 Bailey Medical Center, LLC 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.