Tdap vaccine for ages 7 and older, injected into muscle at Sanford Wheaton

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

Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML

Wheaton, MN

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How this price compares nationally

Sanford Wheaton’s median price of $73 is 10% below the median hospital's median price ($81), higher than 43% 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 Sanford Wheaton

Negotiated rates from the hospital’s own file: 8 payers, 26 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	Bcbs Mn pmap percent of total billed charges · outpatientfrom % of charges	$21	$21	$1	3%	—	$20 – $21
2	Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges	$43	$43	$1	3%	—	$42 – $44
3	Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges	$46	$46	$1	3%	—	$45 – $48
4	Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges	$47	$47	$1	3%	—	$45 – $48
5	Bcbs Mn medicare replacement percent of total billed charges · outpatientfrom % of charges	$47	$47	$1	3%	—	$45 – $48
6	UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges	$47	$47	$1	3%	—	$45 – $48
7	Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges	$59	$59	$2	3%	—	$57 – $60
8	Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges	$67	$67	$2	3%	—	$66 – $69
9	Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges	$67	$67	$2	3%	—	$66 – $69
10	UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges	$71	$71	$2	3%	—	$69 – $73
11	UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges	$71	$71	$2	3%	—	$69 – $73
12	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$74	$74	$2	3%	—	$72 – $76
13	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$74	$74	$2	3%	—	$72 – $76
14	Ucare commercial percent of total billed charges · inpatientfrom % of charges	$75	$75	$2	3%	—	$73 – $77
15	Ucare commercial percent of total billed charges · outpatientfrom % of charges	$75	$75	$2	3%	—	$73 – $77
16	Medica choice percent of total billed charges · outpatientfrom % of charges	$75	$75	$2	3%	—	$73 – $77
17	Medica choice percent of total billed charges · inpatientfrom % of charges	$76	$76	$2	3%	—	$74 – $78
18	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$77	$77	$2	3%	—	$75 – $79
19	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$77	$77	$2	3%	—	$75 – $79
20	Bcbs Mn commercial/federal percent of total billed charges · outpatientfrom % of charges	$79	$79	$2	3%	—	$77 – $81
21	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · inpatientfrom % of charges	$79	$79	$2	3%	—	$77 – $82
22	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · outpatientfrom % of charges	$79	$79	$2	3%	—	$77 – $82
23	Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges	$79	$79	$2	3%	—	$77 – $82
24	Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges	$79	$79	$2	3%	—	$77 – $82
25	Medica elect percent of total billed charges · outpatientfrom % of charges	$80	$80	$2	3%	—	$78 – $83

Page 1 of 2 · 26 rates

Last updated: Mar 4, 2026

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