CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Crossing Rivers Health Medical Center

Billing Code: 90656 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90656
Insurance Median: $117
Cash Discount Price: $122
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Flu vaccine (high dose) at Crossing Rivers Health Medical Center is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 37868 Us Hwy 18, Prairie Du Chien, WI.

Cash / Self-Pay

$122

Average discount available for prompt cash payment at this facility.

Insurance Median

$117

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
Security Hlth McR Adv	$51	N/A
Blue Cross Blue Shield	$51 - $118	N/A
Amerigroup McR Adv	$51	N/A
UnitedHealthcare	$51 - $122	N/A
Humana	$52 - $117	N/A
Iowa Total Care McAid-All Plans	$64	N/A
Amerigroup McAid-All Other Plans	$64	N/A
Quartz - All Plans	$98	N/A
Medica Hp Solutions	$116	N/A
Security Hlth Comm - All Other Plans	$116	N/A
Dean Health Plan - All Plans	$116	N/A
Medica Comm - All Other Plans	$116	N/A
Health Trad Hp - All Plans	$117	N/A
Wea Provider Ntwrk - All Plans	$117	N/A
Medical Associates Hp - All Plans	$118	N/A
Preferred Health Choice - All Plans	$118	N/A
Group Health Co-Op - All Plans	$118	N/A
Cigna	$118	N/A
Wps - All Plans	$118	N/A
Health Partners - All Plans	$118	N/A
Geha - All Plans	$118	N/A
First Health - All Plans	$118	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 $122.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90656.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Crossing Rivers Health Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90656.
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.