Price of Diphtheria, Pertussis, Tetanus Vaccine at NYU Langone

Last Updated: 2024-07-01

NYU Langone

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NYU Langone|Tisch Hospital

550 1st Ave., New York, NY 10016

About Diphtheria, Pertussis, Tetanus Vaccine

Service Codes: LOCAL 5010001, CPT 90715

This procedure involves administering a combination vaccine that protects against diphtheria, pertussis (whooping cough), and tetanus. It is given as an intramuscular injection to help prevent these serious diseases.

Pricing Overview

Cash Price ?

$53.86

Median Price ?

$98.21

Price Range ?

$0.37 - $255.13

Insurance Plan Prices

Insurance Provider Plan Type Price
UnitedHealthcare Medicare Advantage $38.75
UnitedHealthcare Optum Health $141.74
Blue Cross Blue Shield Blue Access HMO (Small Group) $40.44
UnitedHealthcare Student Resources $141.74
UnitedHealthcare AARP Medicare Advantage Complete Mosaic $38.75
EmblemHealth Select Care Bronze Small Group $103.44
Carelon Behavioral Health All Exchange Plans (Home-based Only) $38.75
EmblemHealth Enhanced Care (Medicaid) SNP HARP (SOMOS) $98.21
UnitedHealthcare Choice (NY Power Authority) $141.74
Anthem BCBS HealthPlus Essential Plan 1, 200-250 $187.07
MultiPlan Healthnet of California $221.11
BCBS (Out of State) HMO $40.44
MultiPlan PHCS $221.11
BCBS (Out of State) EPO (Suitcase Logo) $40.44
Blue Cross Blue Shield Pathway $112.24
Anthem BCBS HealthPlus Medicaid $93.54
Carelon Behavioral Health Medicare Advantage (Home-based Only) $38.75
EmblemHealth HIP Access II $121.69
Blue Cross Blue Shield Blue Priority EPO (Small Group) $40.44
EmblemHealth Enhanced Care (Medicaid) Essential Plan 3 (SOMOS) $98.21
EmblemHealth American Plan Administrators $196.33
EmblemHealth HIP Medicare Supplement $38.75
Blue Cross Blue Shield Hotel Trades Council $40.44
EmblemHealth Prime Gold $103.44
MultiPlan Mutual of Omaha $221.11
EmblemHealth Select Care Gold Small Group $103.44
UnitedHealthcare EPO $141.74
BCBS (Out of State) EPO $40.44
Riverspring Health Plans Medicare Advantage $38.75
EmblemHealth Select Care Platinum Exchange $103.44
EmblemHealth BCBS GHI Composite $40.44
Cigna HMO $90.28
Partners Health Plan FIDA $38.75
Cigna Great West HMO $90.28
Aetna Indemnity $38.75
Cigna Wellfleet Student $90.28
Anthem BCBS HealthPlus All Exchange Plans $112.24
Blue Cross Blue Shield Federal Program $40.44
EmblemHealth Select Care Gold Exchange $103.44
EmblemHealth HIP $121.69
HealthSmart WTC Health Program - Stony Brook $38.75
Anthem BCBS HealthPlus Essential Plan 4 $93.54
Blue Cross Blue Shield Child Health Plus (CHP) $93.54
BCBS (Out of State) POS (No Suitcase Logo) $40.44
UnitedHealthcare - Oxford Medicare Advantage $38.75
Carelon Behavioral Health Medicaid Managed Care (Home-based Only) $49.52
VNS Health MLTC (Medicaid) $49.52
EmblemHealth Prime Silver $103.44
EmblemHealth HIP VIP Medicare Affinity $38.75
EmblemHealth Enhanced Care (Medicaid) Healthcare Partners $93.54
MagnaCare National Health Plan $138.67
Fidelis Care Bronze for Children (Exchange) $168.37
EmblemHealth Enhanced Care (Medicaid) Essential Plan 4 (SOMOS) $98.21
UnitedHealthcare POS $141.74
AgeWell (Deprecated) Medicare Advantage $38.75
MultiPlan PPO $221.11
HealthSmart WTC Health Program - Northwell $38.75
Blue Cross Blue Shield Blue Access EPO (Large Group) $40.44
Fidelis Care Gold (Exchange) $168.37
Anthem BCBS HealthPlus SOMOS Special Needs HARP $98.21
EmblemHealth HIP Montefiore $121.69
Anthem BCBS HealthPlus SOMOS Essential Plan 4 $98.21
Centers Plan for Healthy Living All Plans $38.75
Fidelis Care Essential Plan 1 $201.10
MultiPlan Meritain Health $221.11
Blue Cross Blue Shield PPO/EPO (Small Group) $40.44
BCBS (Out of State) POS $40.44
EmblemHealth HIP Child Health Plus $93.54
MetroPlus Essential Plan 3-4 $93.54
UnitedHealthcare Golden Rule Insurance $141.74
Blue Cross Blue Shield Local 32 BJ $40.44
Anthem BCBS Optum $40.44
VNS Health EasyCare Plus (Medicare+Medicaid) $38.75
BCBS (Out of State) PPO $40.44
Fidelis Care Silver for Children (Exchange) $168.37
MultiPlan Diversified Admin Corp $221.11
Fidelis Care Catastrophic (Exchange) $168.37
UnitedHealthcare Core $141.74
Fidelis Care Platinum for Children (Exchange) $168.37
BCBS (Out of State) EPO (No Suitcase Logo) $40.44
UnitedHealthcare Navigate $141.74
EmblemHealth HIP compre health epo $121.69
Aetna Medicare Advantage $38.75
MultiPlan Teamsters Allied Benefits $221.11
UnitedHealthcare Charter $141.74
EmblemHealth HIP VIP Medicare Bold $38.75
Blue Cross Blue Shield HMO $40.44
EmblemHealth Healthcare Partners Essential Plans $112.24
Cigna MVP-Cigna Network $90.28
Blue Cross Blue Shield Blue Connection $40.44
Maksin Group Consolidated Health Plan (Home-based only) $90.28
EmblemHealth HIP POS $121.69
EmblemHealth Vytra HMO $121.69
Champus Unysis Corp $38.75
Blue Cross Blue Shield Healthy New York $40.44
MultiPlan Global Health Management $221.11
Cigna PPO $90.28
First Health PPO $221.11
EmblemHealth American Plan Administrators c/o H.D.A $196.33
MultiPlan Global Excel Management $221.11
EmblemHealth HIP Long Island College Hospital (LICH) $121.69
Blue Cross Blue Shield MediBlue (Medicare Advantage) HMO (HCP) $38.75
EmblemHealth HIP Healthcare Partners HMO $121.69
EmblemHealth Essential Plan 1, 200-250 $112.24
Blue Cross Blue Shield Blue Access gEPO (Small Group) $40.44
Anthem BCBS HealthPlus Essential Plan 3 $93.54
EmblemHealth CMO Essential Plan 1 $112.24
Anthem BCBS HealthPlus SOMOS Essential Plan 1 & 200-250 $126.28
Blue Cross Blue Shield EPO $40.44
UnitedHealthcare AARP Medicare Advantage Complete Essentials $38.75
MetroPlus Essential Plan 1 $93.54
UnitedHealthcare HMO $141.74
EmblemHealth CMO Essential Plan 3 $93.54
UnitedHealthcare AARP $38.75
Health Net PPO $221.11
BCBS (Out of State) Indemnity $40.44
MetroPlus Medicaid Managed Care $93.54
MagnaCare Independent Care Plus $138.67
EmblemHealth Enhanced Care (Medicaid) Essential Plan 1, 200-250 (SOMOS) $126.28
MetroPlus Essential Plan 4 $93.54
Anthem BCBS HealthPlus SOMOS Child Health Plus (CHP) $98.21
Blue Cross Blue Shield UniCare $40.44
MagnaCare Capital District Physicians Health Plan $138.67
UnitedHealthcare AARP Medicare Advantage Complete $38.75
1199SEIU Funds PPO $219.38
Fidelis Care Native American (Exchange) $168.37
VNS Health SelectHealth (Medicaid) $49.52
Anthem BCBS HealthPlus SOMOS Essential Plan 2 $126.28
Cigna NALC PPO $90.28
VA Community Care Network Optum $38.75
BCBS (Out of State) POS (Suitcase Logo) $40.44
EmblemHealth Essential Plan 4 $93.54
BCBS (Out of State) HMO (No Suitcase Logo) $40.44
Fidelis Care Silver 250 (Exchange) $168.37
MetroPlus BronzePlus $54.63
MetroPlus GoldCare 2 $0.37
EmblemHealth HIP VIP Medicare Healthcare Partners $38.75
EmblemHealth Enhanced Care (Medicaid) Child Health Plus (SOMOS) $98.21
HealthSmart WTC Health Program - FDNY $38.75
UnitedHealthcare - Oxford Metro $141.74
Fidelis Care Medicaid Managed Care $115.99
Anthem BCBS HealthPlus Child Health Plus (CHP) $93.54
Cigna Great West PPO $90.28
Cigna Indemnity $90.28
MagnaCare Cement & Concrete Workers District Council $138.67
EmblemHealth GHI Medicare HMO $38.75
Fidelis Care Wellcare Medicare Advantage $38.75
Cigna LifeSOURCE $90.28
Fidelis Care Essential Plan 4 $115.99
MetroPlus PlatinumPlus $54.63
HealthSmart WTC Health Program - NYCHHC $38.75
EmblemHealth Select Care Catastrophic Exchangeu00a0 $103.44
Cigna Cigna Managed Care/POS $90.28
MetroPlus GoldPlus $54.63
EmblemHealth Essential Plan 2 $112.24
Blue Cross Blue Shield Senior Care Supplemental $38.75
MetroPlus Gold $0.37
Blue Cross Blue Shield POS $40.44
EmblemHealth Select Care Silver Exchange $103.44
Blue Cross Blue Shield Pathway Enhanced $112.24
VNS Health EasyCare (Medicare Advantage) $38.75
EmblemHealth GHI HMO $196.33
Blue Cross Blue Shield Global Transplants $40.44
MetroPlus Essential Plan 3 $93.54
Amida Care Medicaid Managed Care $40.60
EmblemHealth Healthcare Partners Essential Plan 2 $112.24
Elderplan FIDA $38.75
UnitedHealthcare Independent $141.74
CenterLight PACE Medicare HMO $39.52
Blue Cross Blue Shield Blue Access PPO (Large Group) $40.44
UnitedHealthcare PPO $141.74
Blue Cross Blue Shield PPO $40.44
BCBS (Out of State) PPO (No Suitcase Logo) $40.44
MetroPlus MedPlus $54.63
MultiPlan US Life Insurance Co $221.11
Anthem BCBS HealthPlus Family Health Plus (Deprecated) $93.54
Blue Cross Blue Shield Blue Priority PPO $40.44
Cigna Evernorth Behavioral Health $90.28
AgeWell (Deprecated) Medicaid Managed Care $49.52
Veterans Choice Veterans Choice Program $38.75
Healthfirst Personal Wellness Plan (HARP) $49.52
Three Rivers All Plans (Home-based Only) $255.13
EmblemHealth HIP VIP Medicare Reserve $38.75
Anthem BCBS HealthPlus Essential Plan 2 $187.07
EmblemHealth VIP Prime HMO Medicare Advantage $38.75
MultiPlan Nippon Life $221.11
Fidelis Care Essential Plan 3 $115.99
EmblemHealth HIP SmartStart $121.69
MagnaCare JIB Employees Security Fund $138.67
Fidelis Care Silver (Exchange) $168.37
HealthSmart WTC Health Program - UMDNJ Rutgers $38.75
MultiPlan Guardian Life Insurance Co $221.11
Partners Health Plan Medicare Advantage $38.75
Blue Cross Blue Shield Open Access HMO (Home-based Only) $40.44
MetroPlus Medicare Advantage $38.75
1199SEIU Funds Member Choice Home Care Select $219.38
Cigna Tufts Health Plan $90.28
Elderplan All Plans $38.75
BCBS (Out of State) Medicare (Suitcase Logo) $38.75
VillageCareMAX All Plans $38.75
EmblemHealth Select Care Bronze Exchange $103.44
Anthem BCBS Empire Plan, Value Options $40.44
Anthem BCBS HealthPlus Special Needs Plan (SNP) $93.54
EmblemHealth WLNY-TV $196.33
Blue Cross Blue Shield Blue Access gEPO (Large Group) $40.44
EmblemHealth Select Care Silver Small Group $103.44
Blue Cross Blue Shield Blue Access EPO (Small Group) $40.44
EmblemHealth Prime Bronze $103.44
HealthSmart WTC Health Program - NYU $38.75
EmblemHealth Select Care Healthcare Partners $103.44
MultiPlan PHCS Savility $221.11
Partners Health Plan Medicare Advantage (Home-based Only) $38.75
UnitedHealthcare Choice $141.74
Partners Health Plan Medicaid MLTC $49.52
EmblemHealth Enhanced Care (Medicaid) Essential Plan 2 (SOMOS) $126.28
MagnaCare Direct Plus $138.67
Blue Cross Blue Shield Indemnity $40.44
EmblemHealth GHI EPO $196.33
HealthSmart WTC Health Program - Logistic Health Inc $38.75
MetroPlus SilverPlus $54.63
MultiPlan PHP Healthcare (Champus) $221.11
EmblemHealth CMO Essential Plan 4 $93.54
EmblemHealth Enhanced Care (Medicaid) (SOMOS) $98.21
EmblemHealth Select Care Platinum Small Group $103.44
Anthem BCBS All Plans $40.44
Blue Cross Blue Shield MediBlue (Medicare Advantage) HMO $38.75
BCBS (Out of State) Medicare (No Suitcase Logo) $38.75
MagnaCare PPO $138.67
MagnaCare American Plan Administrators $138.67
EmblemHealth Healthcare Partners Essential Plan 1-2 $112.24
Sedgwick WTC Health Program - Northwell $38.75
EmblemHealth Enhanced Care (Medicaid) Montefiore $93.54
EmblemHealth HIP compre health $121.69
Blue Cross Blue Shield MediBlue (Medicare Advantage) PPO $38.75
UnitedHealthcare - Oxford Freedom $141.74
Fidelis Care Platinum (Exchange) $168.37
Cigna Open Access $90.28
Cigna Open Access PPO $90.28
BCBS (Out of State) Medicare $38.75
Fidelis Care Essential Plan 2 $201.10
EmblemHealth GHI Medicare PPO $38.75
EmblemHealth Healthcare Partners Essential Plan 3 $93.54
Anthem BCBS HealthPlus Medicare Advantage $38.75
EmblemHealth GHI Comprehensive Benefits Plan (CBP) $196.33
Anthem BCBS HealthPlus SOMOS ny medicaid $98.21
EmblemHealth Select Care Basic Exchange $103.44
Cigna Open Access HMO $90.28
Blue Cross Blue Shield Blue Access EPO (Large Group) (NY LI Local 1199SEIU) $40.44
CenterLight Select $39.52
Fidelis Care Child Health Plus (CHP) $115.99
BCBS (Out of State) HMO (Suitcase Logo) $40.44
MultiPlan Principal Financial Group $221.11
EmblemHealth GHI PPO $196.33
UnitedHealthcare POMCO (UMR) $141.74
EmblemHealth GHI composite $196.33
MultiPlan Kaiser Permanente $221.11
Blue Cross Blue Shield MediBlue (Medicare Advantage) Select HMO/Extra HMO $38.75
Blue Cross Blue Shield Blue Priority HMO $40.44
EmblemHealth IUOE Local 14-14B $196.33
Blue Cross Blue Shield Open Access PPO (Home-based Only) $40.44
Cigna Premier Plus $90.28
CenterLight PACE $39.52
Anthem BCBS HealthPlus SOMOS Essential Plan 3 $98.21
Blue Cross Blue Shield Pathway X Enhanced $112.24
EmblemHealth HIP PPO $121.69
EmblemHealth HIP VIP Medicare Montefiore $38.75
Partners Health Plan Medicaid $49.52
1199SEIU Funds Home Care Benefit Fund $219.38
MultiPlan Humana Health Plan $221.11
VNS Health Total (Medicare + Medicaid) $38.75
MultiPlan QualCare Inc $221.11
UnitedHealthcare WTC Health Program $38.75
EmblemHealth Bridge $121.69
Horizon BCBS Direct $40.44
MultiPlan Paramount Insurance $221.11
EmblemHealth Select Care HMO $103.44
EmblemHealth Healthcare Partners Essential Plan 3-4 $93.54
EmblemHealth Enhanced Care (Medicaid) $93.54
EmblemHealth Select Care PPOu00a0 $103.44
MetroPlus Essential Plan 1-2, 200-250 $93.54
UnitedHealthcare Choice (North Shore - LIJ) $141.74
Humana All Commercial Plans $221.11
MetroPlus Essential Plan 2 $93.54
EmblemHealth Select Care EPO $103.44
MagnaCare JIB Members $138.67
First Health Commercial HMO $238.12
Senior Whole Health All Plans $38.75
MultiPlan PHCS Director Guild $221.11
EmblemHealth HIP Prime Basic $103.44
Fidelis Care Gold for Children (Exchange) $168.37
MultiPlan AXA Global Insurance $221.11
EmblemHealth Prime Platinum $103.44
MultiPlan Fiserv Health $221.11
UnitedHealthcare Medicare Advantage Complete Choice Regional PPO $38.75
EmblemHealth HIP Optum Health $121.69
EmblemHealth Essential Plan 3 $93.54
UnitedHealthcare - Oxford Optum Health $141.74
EmblemHealth GHI Behavioral Management Program $196.33
MultiPlan Administrative Concepts $221.11
UnitedHealthcare - Oxford Liberty $141.74
HealthSmart WTC Health Program - Mt. Sinai $38.75
MagnaCare Direct Plus Preferred $138.67
CenterLight Direct $39.52
EmblemHealth HIP Access I $121.69
MultiPlan Capital District Physicians Health Plan $221.11
EmblemHealth GHI Medicare Supplement $38.75
EmblemHealth Healthcare Partners Essential Plan 1, 200-250 $112.24
Blue Cross Blue Shield MediBlue (Medicare Advantage) Select/Extra HMO (HCP) $38.75
Better Health Plan All Plans $238.12
Fidelis Care Bronze (Exchange) $168.37
BCBS (Out of State) PPO (Suitcase Logo) $40.44
EmblemHealth HIP EPO $121.69
EmblemHealth CMO Essential Plan 2 $112.24
EmblemHealth HIP HMO $121.69
MetroPlus Child Health Plus (CHP) $93.54
MultiPlan Screen Actors Guild $221.11
EmblemHealth Healthcare Partners Essential Plan 4 $93.54
UnitedHealthcare POMCO (UMR) $221.11
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