CMS Price Transparency Data

Typhoid vaccine

Facility: Riverview Medical Center

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $917
Cash Discount Price: $312
vs. Medicare Baseline: 2.91x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at Riverview Medical Center is $917. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $312. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 2.91x the Medicare baseline. Located in One Riverview Plaza, Red Bank, NJ.

Cash / Self-Pay

$312

Average discount available for prompt cash payment at this facility.

Insurance Median

$917

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$315.22

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $315.22 (100%)

Cash / Self-Pay: $312 (99%)

Insurance Median: $917 (291%)

Cash: $312 (99% of Medicare)

Ins. Median: $917 (291% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $315.22 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 291% of the Medicare baseline (a markup of 191%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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 (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

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

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Horizon	$265 - $1,437	84%
Clover	$291 - $320	92%
Blue Cross Blue Shield	$312	99%
Vaccn	$312	99%
United Community/Americhoice	$328	104%
Aetna	$340 - $1,394	108%
UnitedHealthcare	$374 - $1,048	119%
Karna	$423	134%
Amerihealth	$470 - $566	149%
Wellcare	$728 - $801	231%
Oxford	$734	233%
Qualcare	$757 - $917	240%
Cigna	$800 - $1,424	254%
Amerigroup	$808 - $890	256%
Seoul Medical Group	$808 - $890	256%
Bergen Risk	$970 - $1,068	308%
Activecare First McO	$1,374 - $1,513	436%
Multiplan - PHCS	$1,374 - $1,513	436%
Brighton Health Plan	$1,455 - $1,602	462%

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 $312.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90675.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Riverview Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90675.
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.