CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Childrens Hospital of the Kings Daughters Inc

Billing Code: 90716 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90716
Insurance Median: $508
Cash Discount Price: $571
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Varicella (chickenpox) vaccine at Childrens Hospital of the Kings Daughters Inc is $508. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $571. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 601 Children's Lane, Norfolk, VA.

Cash / Self-Pay

$571

Average discount available for prompt cash payment at this facility.

Insurance Median

$508

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
Wellcare	$5 - $188	N/A
Amerihealth Caritas	$5 - $183	N/A
Healthy Blue	$5 - $183	N/A
Carolina Complete Health	$5 - $186	N/A
Sentara Community Plan	$11 - $216	N/A
UnitedHealthcare	$11 - $652	N/A
Blue Cross Blue Shield	$11 - $464	N/A
Aetna	$11 - $652	N/A
Humana	$14 - $227	N/A
Johns Hopkins Healthcare	$20 - $754	N/A
Sentara Health Plans	$294 - $368	N/A
Cigna	$422 - $527	N/A
Virginia Health Network	$444 - $635	N/A
Medcost	$540 - $730	N/A
First Health	$571 - $714	N/A
Multiplan	$584 - $730	N/A
PHCS	$584 - $754	N/A
Vhn	$584 - $754	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 $571.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90716.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Childrens Hospital of the Kings Daughters Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90716.
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.