CPT 90680
The standard charge for Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use is $147.00. However, the price you pay depends on the rate negotiated by your insurance plan and what portion your insurance plan requires you to contribute towards that amount. Enter your info below to start your estimate.
To calculate an estimate of your cost, you will need two things:
LOCATION
321 Madison St., Sheridan, MT, 59749CONTACT
(406) 842-5453 Visit WebsiteRuby Valley Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.
In compliance with federal law, Ruby Valley Medical Center provides a list of standard charges. These are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient’s unique needs.
I understand that the list of standard charges includes only hospital services and does not contain professional fees for non-Ruby Valley Medical Center physicians or advanced practice providers. It does not contain professional fees for anesthesia, physicians or advanced practice providers.
I understand that a single line item charge may not represent a complete medical service. In general, multiple charge line items are necessary to represent all components of a service (e.g. procedures, supplies, and drugs).
I understand that the list of standard charges is not intended for media use.
I understand prices are the list price of all hospital charges and not necessarily what my insurance company will pay or what I will owe to the hospital. My actual bill may include one or more of list price charges.
The hospital typically accepts a rate that is less than the list charges. Your insurer will determine what you will owe after they have paid their agreed upon amount.
We know that the billing and payment processes may seem overwhelming at times. Please contact our team at 406-842-5453 or via our contact form here.
Choose a plan to view the insurance rate estimate.
Total estimated charges
$147.00Insurance Discount
-$7.35Price Negotiated by Insurer
$139.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
TR IMMUNIZATION ADMIN EA ADDTL VACCINE
$36.10TR IMMUNIZATION ADMIN - SINGLE VACCINE
$69.35VAC - PNEUMOCOCCAL 20 (0.5 ML) - MEDICAR
$583.30VAC - VAXELIS -DTaP-IPV-Hib-Hep B [0.5ML
$482.60WV BABY ESTAB PATIENT >1 YEAR OLD
$219.45This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$147.00Insurance Discount
-$14.70Price Negotiated by Insurer
$132.30Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
TR IMMUNIZATION ADMIN EA ADDTL VACCINE
$34.20TR IMMUNIZATION ADMIN - SINGLE VACCINE
$65.70VAC - PNEUMOCOCCAL 20 (0.5 ML) - MEDICAR
$552.60VAC - VAXELIS -DTaP-IPV-Hib-Hep B [0.5ML
$457.20WV BABY ESTAB PATIENT >1 YEAR OLD
$207.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$147.00Insurance Discount
-$14.70Price Negotiated by Insurer
$132.30Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
TR IMMUNIZATION ADMIN EA ADDTL VACCINE
$34.20TR IMMUNIZATION ADMIN - SINGLE VACCINE
$65.70VAC - PNEUMOCOCCAL 20 (0.5 ML) - MEDICAR
$552.60VAC - VAXELIS -DTaP-IPV-Hib-Hep B [0.5ML
$457.20WV BABY ESTAB PATIENT >1 YEAR OLD
$207.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$147.00Insurance Discount
-$7.35Price Negotiated by Insurer
$139.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
TR IMMUNIZATION ADMIN EA ADDTL VACCINE
$36.10TR IMMUNIZATION ADMIN - SINGLE VACCINE
$69.35VAC - PNEUMOCOCCAL 20 (0.5 ML) - MEDICAR
$583.30VAC - VAXELIS -DTaP-IPV-Hib-Hep B [0.5ML
$482.60WV BABY ESTAB PATIENT >1 YEAR OLD
$219.45This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$147.00Insurance Discount
-$14.70Price Negotiated by Insurer
$132.30Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
TR IMMUNIZATION ADMIN EA ADDTL VACCINE
$34.20TR IMMUNIZATION ADMIN - SINGLE VACCINE
$65.70VAC - PNEUMOCOCCAL 20 (0.5 ML) - MEDICAR
$552.60VAC - VAXELIS -DTaP-IPV-Hib-Hep B [0.5ML
$457.20WV BABY ESTAB PATIENT >1 YEAR OLD
$207.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$147.00Insurance Discount
-$14.70Price Negotiated by Insurer
$132.30Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
TR IMMUNIZATION ADMIN EA ADDTL VACCINE
$34.20TR IMMUNIZATION ADMIN - SINGLE VACCINE
$65.70VAC - PNEUMOCOCCAL 20 (0.5 ML) - MEDICAR
$552.60VAC - VAXELIS -DTaP-IPV-Hib-Hep B [0.5ML
$457.20WV BABY ESTAB PATIENT >1 YEAR OLD
$207.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$147.00Insurance Discount
-$7.35Price Negotiated by Insurer
$139.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
TR IMMUNIZATION ADMIN EA ADDTL VACCINE
$36.10TR IMMUNIZATION ADMIN - SINGLE VACCINE
$69.35VAC - PNEUMOCOCCAL 20 (0.5 ML) - MEDICAR
$583.30VAC - VAXELIS -DTaP-IPV-Hib-Hep B [0.5ML
$482.60WV BABY ESTAB PATIENT >1 YEAR OLD
$219.45This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$147.00Insurance Discount
$0.00Price Negotiated by Insurer
$147.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
TR IMMUNIZATION ADMIN EA ADDTL VACCINE
$38.00TR IMMUNIZATION ADMIN - SINGLE VACCINE
$73.00VAC - PNEUMOCOCCAL 20 (0.5 ML) - MEDICAR
$614.00VAC - VAXELIS -DTaP-IPV-Hib-Hep B [0.5ML
$508.00WV BABY ESTAB PATIENT >1 YEAR OLD
$231.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$147.00Insurance Discount
-$14.70Price Negotiated by Insurer
$132.30Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
TR IMMUNIZATION ADMIN EA ADDTL VACCINE
$34.20TR IMMUNIZATION ADMIN - SINGLE VACCINE
$65.70VAC - PNEUMOCOCCAL 20 (0.5 ML) - MEDICAR
$552.60VAC - VAXELIS -DTaP-IPV-Hib-Hep B [0.5ML
$457.20WV BABY ESTAB PATIENT >1 YEAR OLD
$207.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$147.00Insurance Discount
-$7.35Price Negotiated by Insurer
$139.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
TR IMMUNIZATION ADMIN EA ADDTL VACCINE
$36.10TR IMMUNIZATION ADMIN - SINGLE VACCINE
$69.35VAC - PNEUMOCOCCAL 20 (0.5 ML) - MEDICAR
$583.30VAC - VAXELIS -DTaP-IPV-Hib-Hep B [0.5ML
$482.60WV BABY ESTAB PATIENT >1 YEAR OLD
$219.45This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$147.00Insurance Discount
-$14.70Price Negotiated by Insurer
$132.30Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
TR IMMUNIZATION ADMIN EA ADDTL VACCINE
$34.20TR IMMUNIZATION ADMIN - SINGLE VACCINE
$65.70VAC - PNEUMOCOCCAL 20 (0.5 ML) - MEDICAR
$552.60VAC - VAXELIS -DTaP-IPV-Hib-Hep B [0.5ML
$457.20WV BABY ESTAB PATIENT >1 YEAR OLD
$207.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$147.00Insurance Discount
-$11.76Price Negotiated by Insurer
$135.24Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
TR IMMUNIZATION ADMIN EA ADDTL VACCINE
$34.96TR IMMUNIZATION ADMIN - SINGLE VACCINE
$67.16VAC - PNEUMOCOCCAL 20 (0.5 ML) - MEDICAR
$564.88VAC - VAXELIS -DTaP-IPV-Hib-Hep B [0.5ML
$467.36WV BABY ESTAB PATIENT >1 YEAR OLD
$212.52This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$147.00Insurance Discount
-$44.10Price Negotiated by Insurer
$102.90Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
TR IMMUNIZATION ADMIN EA ADDTL VACCINE
$26.60TR IMMUNIZATION ADMIN - SINGLE VACCINE
$51.10VAC - PNEUMOCOCCAL 20 (0.5 ML) - MEDICAR
$429.80VAC - VAXELIS -DTaP-IPV-Hib-Hep B [0.5ML
$355.60WV BABY ESTAB PATIENT >1 YEAR OLD
$161.70This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$147.00Insurance Discount
-$7.35Price Negotiated by Insurer
$139.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
TR IMMUNIZATION ADMIN EA ADDTL VACCINE
$36.10TR IMMUNIZATION ADMIN - SINGLE VACCINE
$69.35VAC - PNEUMOCOCCAL 20 (0.5 ML) - MEDICAR
$583.30VAC - VAXELIS -DTaP-IPV-Hib-Hep B [0.5ML
$482.60WV BABY ESTAB PATIENT >1 YEAR OLD
$219.45This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$147.00Insurance Discount
-$4.41Price Negotiated by Insurer
$142.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
TR IMMUNIZATION ADMIN EA ADDTL VACCINE
$36.86TR IMMUNIZATION ADMIN - SINGLE VACCINE
$70.81VAC - PNEUMOCOCCAL 20 (0.5 ML) - MEDICAR
$595.58VAC - VAXELIS -DTaP-IPV-Hib-Hep B [0.5ML
$492.76WV BABY ESTAB PATIENT >1 YEAR OLD
$224.07This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$147.00Insurance Discount
-$7.35Price Negotiated by Insurer
$139.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
TR IMMUNIZATION ADMIN EA ADDTL VACCINE
$36.10TR IMMUNIZATION ADMIN - SINGLE VACCINE
$69.35VAC - PNEUMOCOCCAL 20 (0.5 ML) - MEDICAR
$583.30VAC - VAXELIS -DTaP-IPV-Hib-Hep B [0.5ML
$482.60WV BABY ESTAB PATIENT >1 YEAR OLD
$219.45This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$147.00Insurance Discount
-$7.35Price Negotiated by Insurer
$139.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
TR IMMUNIZATION ADMIN EA ADDTL VACCINE
$36.10TR IMMUNIZATION ADMIN - SINGLE VACCINE
$69.35VAC - PNEUMOCOCCAL 20 (0.5 ML) - MEDICAR
$583.30VAC - VAXELIS -DTaP-IPV-Hib-Hep B [0.5ML
$482.60WV BABY ESTAB PATIENT >1 YEAR OLD
$219.45This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.