Tdap vaccine for ages 7 and older, injected into muscle at Mercy Perry

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE

Perryville, MO

See all hospitals reporting CPT 90715 →

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Pricing by billing methodology

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How this price compares nationally

Mercy Perry’s median price of $141 is 74% above the median hospital's median price ($81), higher than 77% of the 2,411 hospitals reporting CPT 90715. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90715 at Mercy Perry

Negotiated rates from the hospital’s own file: 16 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 hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
2	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
3	Medicaid hb pcmh mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
4	UnitedHealthcare hb pcmh uhc managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
5	Optum hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
6	UnitedHealthcare hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
7	UnitedHealthcare hb pcmh uhc core facility · fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
8	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$69	$69	—	—	—	$69 – $69
9	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$69	$69	—	—	—	$69 – $69
10	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$69	$69	—	—	—	$69 – $69
11	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$69	$69	—	—	—	$69 – $69
12	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$69	$69	—	—	—	$69 – $69
13	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$69	$69	—	—	—	$69 – $69
14	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$70	$70	—	—	—	$70 – $70
15	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$72	$72	—	—	—	$72 – $72
16	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$72	$72	—	—	—	$72 – $72
17	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$82	$82	—	—	—	$82 – $82
18	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$95	$95	—	—	—	$95 – $95
19	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$108	$108	—	—	—	$108 – $108
20	Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges	$108	$108	—	—	—	$108 – $108
21	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$141	$141	—	—	—	$141 – $141
22	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$141	$141	—	—	—	$141 – $141
23	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$149	$149	—	—	—	$149 – $149
24	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$149	$149	—	—	—	$149 – $149
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$159	$159	—	—	—	$159 – $159

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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