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
ADACEL (TDAP ADOLESN/ADULT)(PF)2 LF-(2.5-5-3-5)-5 LF/0.5 ML IM SYRINGE
Eureka, IL
See all hospitals reporting CPT 90715 →Price type
Carle Eureka Hospital’s median price of $39 is 52% below the median hospital's median price ($81), higher than 9% 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: 8 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 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $15 | $15 | $0 | 1% | — | $14 – $15 |
| 2 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $15 | $15 | $0 | 1% | 3–30 | $14 – $15 |
| 3 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $15 | $15 | $0 | 1% | — | $14 – $15 |
| 4 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $33 | $33 | $0 | 1% | — | $32 – $33 |
| 5 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $33 | $33 | $0 | 1% | — | $32 – $33 |
| 6 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $33 | $33 | $0 | 1% | — | $32 – $33 |
| 7 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $33 | $33 | $0 | 1% | — | $32 – $33 |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $35 | $35 | $0 | 1% | — | $34 – $35 |
| 9 | Aetna Better Health managed medicaid other · outpatient | $36 | $36 | — | — | 3–30 | $36 – $36 |
| 10 | Blue Cross Blue Shield managed medicaid other · outpatient | $36 | $36 | — | — | 3–30 | $36 – $36 |
| 11 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $39 | $39 | — | — | — | $39 – $39 |
| 12 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 13 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $40 | $40 | — | — | — | $40 – $40 |
| 14 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 15 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $45 | $45 | $0 | 1% | — | $44 – $45 |
| 16 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $45 | $45 | $0 | 1% | — | $44 – $45 |
| 17 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $45 | $45 | $0 | 1% | — | $44 – $45 |
| 18 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $48 | $48 | $0 | 1% | — | $47 – $48 |
| 19 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $48 | $48 | $0 | 1% | — | $47 – $48 |
| 20 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $49 | $49 | $0 | 1% | — | $48 – $49 |
| 21 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $55 | $54 | $0 | 1% | — | $54 – $55 |
| 22 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $61 | $61 | $1 | 1% | — | $60 – $61 |
Last updated: Apr 15, 2026
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