CMS Price Transparency Data

Typhoid vaccine

Facility: Porter Hospital Inc

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $453
Cash Discount Price: $1,003
vs. Medicare Baseline: 1.44x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at Porter Hospital Inc is $453. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,003. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 1.44x the Medicare baseline. Located in 115 Porter Drive, Middlebury, VT.

Cash / Self-Pay

$1,003

Average discount available for prompt cash payment at this facility.

Insurance Median

$453

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: $1,003 (318%)

Insurance Median: $453 (144%)

Cash: $1,003 (318% of Medicare)

Ins. Median: $453 (144% 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
Humana	$298	95%
Veterans Affairs Community Care Network	$314	100%
Fidelis Care	$348	110%
Capital District Physicians' Health Plan	$387 - $686	123%
Aetna	$387	123%
UnitedHealthcare	$387 - $815	123%
Mvp	$387 - $767	123%
Martins Point	$387	123%
Veterans Choice	$387	123%
Blue Cross Blue Shield	$395 - $717	125%
Wellpath	$453	144%
Harvard Pilgrim	$658	209%
Coventry	$724	230%
Cigna	$748	237%
Multiplan	$782	248%
Medical Corporation	$782	248%

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 $1,003.
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 Porter Hospital Inc 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.