Did you know that medical providers are one of the last bastion against transparent pricing? Somewhere along the line, they decided their patients shouldn’t "shop" for care, and I guess there’s a logic to that as the idea of their doctor being the least expensive might read "poor quality and service". Even when we were uninsured, I didn’t make phone calls to different clinics to see who had the least expensive office visits. Our pediatrician was Dr. Kidd before I lost my insurance; it was Dr. Kidd after.
Our insurance through the Evil Hospital did not cover vaccinations. We took Doodicus to the clinic his pediatrican referred us to that was funded by the state. We paid a palsy "copay" ($20 maybe?) and for almost nine years, all shots were administered by them. Our current insurance now covers vaccinations 100% and with that coverage, the clinic prefers we take the kids back to Dr. Kidd, which is totally understandable.
In July, I took Aitch in for her well-baby check which included five vaccinations. I paid the office visit co-pay of $30 and never gave it another thought until I received my Explanation of Benefits from the insurance company. I wish I could play the game, "Guess How Much It Cost?!" through my blog, but obviously I can’t, unless you’re willing to spread this post out for the next couple of weeks and no one has time for that level of shenanigans, right?
Aitch’s exam, five vaccinations, and the administration of the vaccines came to a grand total of $1,000*. The specific breakdown (I’ve included the codes for you medically-inclined) follows:
99392 – $152. This was for Dr. Kidd to tell me that Aitch is perfect.
90461 – $100. This was for the nurse to poke my kid in the thighs with a pointy object and make her cry.
90670 – $205. Prevnar 13 vaccine (pneumococcal)
90716 – $125. Varicella vaccine (chix pox and boosters)
90707 – $78. Measles, mumps and rubella vaccine
90713 – $48. Polio vaccine
90700 – $52. DTaP vaccine (diptheria, tetanus, and pertussis)
Now let’s play a game. What does it cost in your area for vaccinations?
* This is for a provider in a rural-based community in the middle of the Prairies.