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
Lancaster, PA
See all hospitals reporting CPT 90715 →Price type
Lancaster General Health’s median price of $36 is 56% below the median hospital's median price ($81), higher than 6% 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: 10 payers, 29 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 | Medicaid medicaid facility · fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 2 | UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Aetna aetna medicare advantage facility · other · outpatient | $10 | $10 | $1 | 10% | — | $8 – $11 |
| 4 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $11 | $10 | $1 | 10% | — | $8 – $11 |
| 5 | Devoted devoted health medicare advantage facility · other · outpatient | $18 | $17 | $2 | 10% | — | $14 – $19 |
| 6 | Highmark highmark chip facility · other · outpatient | $21 | $21 | $2 | 10% | — | $17 – $23 |
| 7 | Oscar oscar health plan facility · other · outpatient | $22 | $21 | $2 | 10% | — | $17 – $23 |
| 8 | Highmark highmark aca facility · other · outpatient | $26 | $25 | $2 | 10% | — | $20 – $27 |
| 9 | Highmark highmark commercial preferred facility · other · outpatient | $30 | $29 | $3 | 10% | — | $24 – $31 |
| 10 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $30 | $29 | $3 | 10% | — | $24 – $32 |
| 11 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $33 | $32 | $3 | 10% | — | $27 – $35 |
| 12 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges | $36 | $34 | $3 | 10% | — | $30 – $38 |
| 13 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $36 | $34 | $3 | 10% | — | $30 – $38 |
| 14 | Highmark highmark commercial facility · other · outpatient | $37 | $36 | $3 | 10% | — | $29 – $39 |
| 15 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $37 | $36 | $3 | 10% | — | $29 – $39 |
| 16 | Amerihealth Caritas amerihealth caritas medicaid hmo facility · fee schedule · outpatient | $36 | $36 | $0 | 1% | — | $35 – $36 |
| 17 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $38 | $36 | $3 | 10% | — | $30 – $40 |
| 18 | Blue Cross Blue Shield cbc commercial facility · fee schedule · outpatient | $44 | $43 | $4 | 10% | — | $35 – $47 |
| 19 | Blue Cross Blue Shield independence blue cross commercial facility · fee schedule · outpatient | $44 | $43 | $4 | 10% | — | $35 – $47 |
| 20 | Cigna cigna new business facility · fee schedule · outpatient | $44 | $43 | $4 | 10% | — | $35 – $47 |
| 21 | Highmark highmark aca facility · percent of total billed charges · inpatientfrom % of charges | $44 | $43 | $4 | 10% | — | $35 – $47 |
| 22 | Highmark highmark chip facility · percent of total billed charges · inpatientfrom % of charges | $44 | $43 | $4 | 10% | — | $35 – $47 |
| 23 | Highmark highmark commercial facility · percent of total billed charges · inpatientfrom % of charges | $44 | $43 | $4 | 10% | — | $35 – $47 |
| 24 | Highmark highmark commercial non-preferred facility · percent of total billed charges · inpatientfrom % of charges | $44 | $43 | $4 | 10% | — | $35 – $47 |
| 25 | Highmark highmark commercial preferred facility · percent of total billed charges · inpatientfrom % of charges | $44 | $43 | $4 | 10% | — | $35 – $47 |
Last updated: Mar 31, 2026
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