Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
diphtheria tetanus acellular pertussis 2 Lf-(2.5-5
Rapids, MN
See all hospitals reporting CPT 90715 →Price type
Allina Health Systems’s median price of $107 is 32% above the median hospital's median price ($81), higher than 63% of the 2,411 hospitals reporting CPT 90715. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare united healthcare (um) facility · case rate · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $37 | $38 | $5 | 13% | — | $33 – $45 |
| 3 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 4 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $40 | $42 | $5 | 13% | — | $36 – $49 |
| 5 | Bcbs Mn bc premier (m u) facility · other · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 6 | Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 7 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 8 | Bcbs Mn bc high value/performance network (mu) facility · other · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 9 | Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges | $64 | $67 | $9 | 13% | — | $58 – $78 |
| 10 | Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges | $68 | $71 | $9 | 13% | — | $61 – $83 |
| 11 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $81 | $84 | $11 | 13% | — | $73 – $98 |
| 12 | Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges | $99 | $103 | $13 | 13% | — | $89 – $121 |
| 13 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $107 | $111 | $14 | 13% | — | $96 – $130 |
| 14 | Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges | $127 | $132 | $17 | 13% | — | $114 – $155 |
| 15 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $130 | $135 | $17 | 13% | — | $117 – $159 |
| 16 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $136 | $141 | $18 | 13% | — | $122 – $166 |
| 17 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $136 | $141 | $18 | 13% | — | $122 – $166 |
| 18 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $143 | $149 | $19 | 13% | — | $129 – $174 |
| 19 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $145 | $151 | $19 | 13% | — | $131 – $177 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $153 | $159 | $20 | 13% | — | $137 – $186 |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $153 | $159 | $20 | 13% | — | $137 – $186 |
| 22 | Medica medica ubh (m) facility · percent of total billed charges · outpatientfrom % of charges | $153 | $159 | $20 | 13% | — | $137 – $186 |
Last updated: Jun 17, 2026
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