CMS Price Transparency Data

Typhoid vaccine

Facility: Mountain West Medical Center

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $612
Cash Discount Price: $501
vs. Medicare Baseline: 1.94x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at Mountain West Medical Center is $612. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $501. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 1.94x the Medicare baseline. Located in 2055 North Main Street, Tooele, UT.

Cash / Self-Pay

$501

Average discount available for prompt cash payment at this facility.

Insurance Median

$612

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: $501 (159%)

Insurance Median: $612 (194%)

Cash: $501 (159% of Medicare)

Ins. Median: $612 (194% 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
Blue Cross Blue Shield	$295 - $314	94%
Select Health McR Adv	$314	100%
Medicare (plans)	$392	124%
Wise/Motivhealth-All Plans	$468 - $617	148%
U of Ut-All Plans	$468 - $617	148%
Cigna	$511 - $673	162%
Dmba-All Plans	$518 - $683	164%
Pehp-All Plans	$540 - $712	171%
Aetna	$540 - $712	171%
Select Health-All Other Plans	$540 - $712	171%
UnitedHealthcare	$554 - $731	176%
Multiplan Primary Network-All Other Plans	$569 - $750	181%
Humana	$612 - $806	194%
Emi-All Plans	$612 - $806	194%
Multiplan Complimentary Network	$663 - $873	210%

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 $501.
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 Mountain West Medical Center 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.