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
TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 SUSPENSION PREFILLED SYRINGE
Duluth, MN
See all hospitals reporting CPT 90715 →Price type
Essentia Health Duluth’s median price of $70 is 13% below the median hospital's median price ($81), higher than 41% 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, 27 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 | Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $38 | $36 | $4 | 10% | — | $30 – $39 |
| 3 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $45 | $43 | $4 | 10% | — | $36 – $47 |
| 4 | Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges | $48 | $45 | $5 | 12% | — | $37 – $48 |
| 5 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges | $47 | $45 | $4 | 10% | — | $37 – $48 |
| 6 | Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges | $47 | $45 | $4 | 10% | — | $37 – $48 |
| 7 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges | $50 | $46 | $5 | 12% | — | $39 – $50 |
| 8 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $49 | $47 | $5 | 10% | — | $39 – $50 |
| 9 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $53 | $49 | $6 | 12% | — | $41 – $53 |
| 10 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges | $51 | $49 | $5 | 10% | — | $41 – $53 |
| 11 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $51 | $49 | $5 | 10% | — | $41 – $53 |
| 12 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $63 | $60 | $6 | 10% | — | $50 – $65 |
| 13 | Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges | $64 | $62 | $6 | 10% | — | $51 – $66 |
| 14 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $65 | $63 | $7 | 11% | — | $50 – $71 |
| 15 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges | $70 | $65 | $7 | 12% | — | $54 – $70 |
| 16 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $77 | $71 | $8 | 12% | — | $60 – $77 |
| 17 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $75 | $71 | $7 | 10% | — | $60 – $77 |
| 18 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges | $78 | $72 | $8 | 12% | — | $60 – $78 |
| 19 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $81 | $78 | $8 | 10% | — | $65 – $84 |
| 20 | Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges | $81 | $78 | $8 | 10% | — | $65 – $84 |
| 21 | Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges | $81 | $78 | $8 | 10% | — | $65 – $84 |
| 22 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $83 | $80 | $8 | 10% | — | $66 – $86 |
| 23 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $89 | $82 | $9 | 12% | — | $69 – $89 |
| 24 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $86 | $83 | $8 | 10% | — | $69 – $89 |
| 25 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $99 | $92 | $11 | 12% | — | $77 – $99 |
Last updated: Jan 1, 2026
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