CMS Price Transparency Data

Hepatitis B vaccine

Facility: Astria Sunnyside Hospital

Billing Code: 90744 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90744
  • Insurance Median: $14
  • Cash Discount Price: $16
  • vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Hepatitis B vaccine at Astria Sunnyside Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.
Cash / Self-Pay
$16

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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
Medicare (plans) $5 - $8 N/A
Humana $6 - $30 N/A
Medicaid / KanCare $6 - $10 N/A
Healthcomp_Ihs $6 - $8 N/A
VA $6 - $8 N/A
Molina $6 - $8 N/A
Aetna $6 - $29 N/A
Tricare $6 - $8 N/A
Regence $12 - $17 N/A
Cigna $14 - $20 N/A
Li $14 - $20 N/A
First_Choice $17 - $25 N/A
Premera $18 - $27 N/A
Kaiser $18 - $26 N/A
Tpsc $18 - $26 N/A
UnitedHealthcare $19 - $28 N/A
Healthcomp $20 - $30 N/A
Fhpw $20 - $29 N/A
Zenith $23 - $33 N/A
Great_Rivers $23 - $33 N/A
Bcchp $23 - $33 N/A

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1016 Tacoma Avenue, Sunnyside, WA 98944
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals