CMS Price Transparency Data

Typhoid vaccine

Facility: Lewisgale Hospital Pulaski

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $2,931
Cash Discount Price: $4,071
vs. Medicare Baseline: 9.30x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at Lewisgale Hospital Pulaski is $2,931. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,071. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 9.30x the Medicare baseline. Located in 2400 Lee Highway, Pulaski, VA.

Cash / Self-Pay

$4,071

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,931

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: $4,071 (1291%)

Insurance Median: $2,931 (930%)

Cash: $4,071 (1291% of Medicare)

Ins. Median: $2,931 (930% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 930% of the Medicare baseline (a markup of 830%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$238	76%
Triatlantic	$270	86%
Health Net	$286	91%
United	$847 - $1,832	269%
Virginia Health Network	$1,425 - $2,890	452%
Cigna	$1,689	536%
Aetna	$1,832	581%
Greenvbrier Sporting Club	$2,443	775%
Corvel	$2,931	930%
Richfield Retirement Community	$3,053	969%
Richfield Nursing Center	$3,053	969%
Multiplan	$3,135	995%
Graham-White Manufacturing	$3,257	1033%
Occunet Workers Comp	$3,257	1033%
One Health Plan	$3,257	1033%
Community Care Network	$3,257	1033%
Patients Choice	$3,582	1136%
4Most	$3,664	1162%
Star Transportation	$3,664	1162%
PHCS	$3,664	1162%
American Postal Workers Union	$3,664	1162%

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 $4,071.
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 Lewisgale Hospital Pulaski 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.