CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 90700 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90700
  • Insurance Median: $76
  • Cash Discount Price: $116
  • vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a DTaP vaccine (diphtheria, tetanus, pertussis) at Univ. of Vermont - Fletcher Allen Health Care is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.
Cash / Self-Pay
$116

Average discount available for prompt cash payment at this facility.

Insurance Median
$76

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

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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 $30 - $90 N/A
Martins Point $31 N/A
Blue Cross Blue Shield $31 - $88 N/A
Veterans Affairs Community Care Network $46 N/A
Wellpath $64 N/A
Cigna $76 N/A
Mvp $76 N/A
Ebpa $90 N/A
Magnacare $93 N/A
Harvard Pilgrim $93 N/A
St. Regis $93 N/A
Coventry $99 N/A
Nppn $105 N/A

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 111 Colchester Ave, Burlington, VT 05401
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals