CMS Price Transparency Data

MMR vaccine (measles, mumps, rubella)

Facility: Raritan Bay Medical Center

Billing Code: 90707 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90707
Insurance Median: $222
Cash Discount Price: Unavailable
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a MMR vaccine (measles, mumps, rubella) at Raritan Bay Medical Center is $222. 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 530 New Brunswick Ave, Perth Amboy, NJ.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$222

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 (%)

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
Aetna	$49 - $347	N/A
Clover	$57 - $80	N/A
Karna	$97	N/A
Qualcare	$118 - $166	N/A
Horizon	$137 - $428	N/A
Wellcare	$142 - $200	N/A
Amerihealth	$149 - $235	N/A
Cigna	$156 - $355	N/A
Amerigroup	$158 - $222	N/A
Seoul Medical Group	$158 - $222	N/A
UnitedHealthcare	$186 - $261	N/A
Bergen Risk	$189 - $266	N/A
Activecare First McO	$236 - $332	N/A
Multiplan - PHCS	$268 - $377	N/A
Brighton Health Plan	$284 - $399	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: 90707.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Raritan Bay Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90707.
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.