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
Dip/Tet/Acel Pertus 0.5ML
Aberdeen, SD
See all hospitals reporting CPT 90715 →Price type
Avera St. Luke's’s median price of $60 is 26% below the median hospital's median price ($81), higher than 31% 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: 4 payers, 9 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 | Wellmark hmo outpatient | $39 | $39 | — | — | 38 | $39 – $39 |
| 2 | Wellmark ppo fee schedule · outpatient | $39 | $39 | — | — | 38 | $39 – $39 |
| 3 | Medica com fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 4 | Medica ind fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 5 | UnitedHealthcare com fee schedule · outpatient | $66 | $66 | — | — | 2–20 | $66 – $66 |
| 6 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $77 | $77 | $12 | 15% | — | $65 – $88 |
| 7 | Medica ind percent of total billed charges · inpatientfrom % of charges | $88 | $88 | $13 | 15% | — | $75 – $102 |
| 8 | Medica com percent of total billed charges · inpatientfrom % of charges | $104 | $104 | $16 | 15% | — | $88 – $119 |
| 9 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $107 | $107 | $16 | 15% | — | $91 – $123 |
Last updated: Apr 1, 2026
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