CMS Price Transparency Data

Typhoid vaccine

Facility: Preston Memorial Hospital

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $504
Cash Discount Price: $346
vs. Medicare Baseline: 1.60x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at Preston Memorial Hospital is $504. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $346. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 1.60x the Medicare baseline. Located in 150 Memorial Drive, Kingwood, WV.

Cash / Self-Pay

$346

Average discount available for prompt cash payment at this facility.

Insurance Median

$504

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: $346 (110%)

Insurance Median: $504 (160%)

Cash: $346 (110% of Medicare)

Ins. Median: $504 (160% 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
Unicare	$103	33%
Humana	$415	132%
Medicare (plans)	$415 - $561	132%
Uhc_Va	$415	132%
Advantra	$415	132%
Aetna	$415 - $623	132%
UPMC	$436	138%
Medicaid / KanCare	$450 - $472	143%
Blue_Cross_Highmark_Aca	$504	160%
Blue_Cross_Highmark_Ppo	$559	177%
Blue_Cross_Highmark_Pos	$559	177%
Blue_Cross_Highmark_Traditional	$613	194%
UnitedHealthcare	$623	198%
Cigna	$637	202%
Geha	$657	208%
4_Most	$671	213%
Health	$671	213%

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 $346.
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 Preston Memorial Hospital 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.