CMS Price Transparency Data

Tdap vaccine (tetanus, diphtheria, pertussis)

Facility: Hackensack University Medical Center

Billing Code: 90715 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90715
Insurance Median: $115
Cash Discount Price: Unavailable
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at Hackensack University Medical Center is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 30 Prospect Ave, Hackensack, NJ.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$115

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Clover	$30 - $41	N/A
UnitedHealthcare	$36 - $129	N/A
Aetna	$49 - $112	N/A
Karna	$51	N/A
Amerihealth	$54 - $83	N/A
Cigna	$56 - $183	N/A
Horizon	$61 - $205	N/A
Wellcare	$74 - $103	N/A
Amerigroup	$82 - $114	N/A
Seoul Medical Group	$82 - $114	N/A
Lhp Health	$86 - $119	N/A
Oxford	$93 - $129	N/A
Bergen Risk	$99 - $137	N/A
Activecare First McO	$107 - $148	N/A
Chn	$107 - $148	N/A
Intergroup	$115 - $160	N/A
Multiplan - PHCS	$140 - $194	N/A
Qualcare	$145 - $201	N/A
Brighton Health Plan	$148 - $206	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90715.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Hackensack University Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90715.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.