CMS Price Transparency Data
DTaP vaccine (diphtheria, tetanus, pertussis)
Facility: St Joseph's University Medical Center Inc
Billing Code: 90700 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90700
- Insurance Median: $54
- Cash Discount Price: $122
- vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a DTaP vaccine (diphtheria, tetanus, pertussis) at St Joseph's University Medical Center Inc is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$122
Average discount available for prompt cash payment at this facility.
Insurance Median
$54
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
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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 |
|---|---|---|
| UnitedHealthcare | $13 - $75 | N/A |
| Amerihealth | $24 - $38 | N/A |
| Fidelis Care of New Jersey | $24 - $44 | N/A |
| Wellpoint | $24 - $30 | N/A |
| Aetna | $25 - $60 | N/A |
| Blue Cross Blue Shield | $26 - $131 | N/A |
| Ambetter / Centene | $37 - $45 | N/A |
| Horizon New Jersey Health | $38 - $54 | N/A |
| Multiplan | $41 - $113 | N/A |
| Private Healthcare Systems | $41 - $98 | N/A |
| Consumer Health Network | $47 - $135 | N/A |
| Magnacare | $61 - $75 | N/A |
| Oscar | $61 - $75 | N/A |
| Oxford | $61 - $75 | N/A |
| Cigna | $63 - $150 | N/A |