CMS Price Transparency Data

Hepatitis B vaccine

Facility: Brattleboro Memorial Hospital

Billing Code: 90744 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90744
Insurance Median: $49
Cash Discount Price: $40
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hepatitis B vaccine at Brattleboro Memorial Hospital is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 17 Belmont Ave, Brattleboro, VT.

Cash / Self-Pay

$40

Average discount available for prompt cash payment at this facility.

Insurance Median

$49

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 (%)

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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
Wellsense	$30 - $34	N/A
Amerihealth-Caritas	$30	N/A
New Hampshire Healthy Families	$30	N/A
Tufts Health Plan	$30 - $52	N/A
Blue Cross Blue Shield	$32 - $77	N/A
Mvp Healthcare	$32 - $51	N/A
UnitedHealthcare	$32 - $54	N/A
Martin's Point	$32	N/A
Harvard Pilgrim Health Care	$32 - $49	N/A
Humana	$32	N/A
Cigna	$33 - $54	N/A
New Hampshire Healthy Families (Wellcare)	$33	N/A
Multiplan	$38 - $55	N/A
Vermont Health Plan	$51 - $69	N/A
Coventry	$55	N/A
Health New England	$55	N/A
Aetna	$55	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 $40.
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 Brattleboro Memorial Hospital 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.