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
varicella 1350 unit/0.5 mL suspension for reconstitution 1 each Vial
Boulder, CO
See all hospitals reporting CPT 90716 →Price type
Boulder Community Health’s median price of $204 is 20% below the median hospital's median price ($256), higher than 35% of the 1,851 hospitals reporting CPT 90716. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 28 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 | Kaiser commercial facility · percent of total billed charges · inpatientfrom % of charges | $35 | $35 | $2 | 7% | — | $33 – $38 |
| 2 | Kaiser managed care facility · percent of total billed charges · inpatientfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 3 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 4 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $121 | $127 | $93 | 73% | — | $33 – $234 |
| 5 | Kaiser managed care facility · percent of total billed charges · outpatientfrom % of charges | $135 | $135 | $98 | 72% | — | $37 – $233 |
| 6 | Humana medicare advantage professional · fee schedule · both | $182 | $182 | — | — | — | $182 – $182 |
| 7 | UnitedHealthcare commercial professional · fee schedule · both | $183 | $183 | — | — | — | $183 – $183 |
| 8 | Aetna medicare advantage professional · fee schedule · both | $187 | $187 | — | — | — | $187 – $187 |
| 9 | UnitedHealthcare medicare advantage professional · fee schedule · both | $192 | $192 | — | — | — | $192 – $192 |
| 10 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $159 | $192 | $157 | 82% | — | $37 – $554 |
| 11 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $200 | $200 | $150 | 75% | — | $50 – $351 |
| 12 | Cigna commercial facility · fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 13 | Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges | $207 | $207 | $150 | 72% | — | $57 – $357 |
| 14 | Cigna commercial professional · fee schedule · both | $215 | $215 | — | — | — | $215 – $215 |
| 15 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $216 | $216 | $156 | 72% | — | $60 – $372 |
| 16 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $216 | $216 | $156 | 72% | — | $60 – $372 |
| 17 | Anthem commercial professional · fee schedule · both | $230 | $230 | — | — | — | $230 – $230 |
| 18 | Anthem managed care professional · fee schedule · both | $230 | $230 | — | — | — | $230 – $230 |
| 19 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $162 | $243 | $236 | 97% | — | $59 – $744 |
| 20 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $92 | $247 | $288 | 117% | — | $59 – $744 |
| 21 | Aetna commercial professional · fee schedule · both | $269 | $269 | $82 | 31% | — | $187 – $351 |
| 22 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $232 | $279 | $222 | 80% | — | $52 – $602 |
| 23 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $311 | $311 | $225 | 72% | — | $86 – $536 |
| 24 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $130 | $331 | $341 | 103% | — | $52 – $810 |
| 25 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $359 | $359 | $284 | 79% | — | $75 – $643 |
Last updated: Sep 16, 2026
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