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
DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM (UMBRELLA)
Quitman, MS
See all hospitals reporting CPT 90715 →Price type
Rush Medical Foundation’s median price of $163 is 102% above the median hospital's median price ($81), higher than 84% 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: 11 payers, 14 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 | Humana all payor percent of total billed charges · outpatientfrom % of charges | $129 | $129 | — | — | — | $129 – $129 |
| 2 | Cigna all payor other · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 3 | Cigna Healthspring all payor other · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 4 | Humana all payor other · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 5 | Optum all payor other · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 6 | UnitedHealthcare all payor other · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 7 | Ambetter all payor other · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 8 | Molina all payor other · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 9 | WellCare all payor other · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 10 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $179 | $179 | — | — | — | $179 – $179 |
| 11 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $179 | $179 | — | — | — | $179 – $179 |
| 12 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $207 | $207 | — | — | — | $207 – $207 |
| 13 | Bcbs Ms all payor other · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 14 | MultiPlan all payor other · inpatient | $234 | $234 | — | — | — | $234 – $234 |
Last updated: Apr 1, 2026
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