CMS Price Transparency Data
Tdap vaccine (tetanus, diphtheria, pertussis)
Facility: Atlanticare Regional Medical Center - City Campus
Billing Code: 90715 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90715
- Insurance Median: $416
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at Atlanticare Regional Medical Center - City Campus is $416. 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 1925 Pacific Avenue, Atlantic City, NJ.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$416
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
N/A
Standard federal government reimbursement rate for this code.
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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 |
|---|---|---|
| Health Partners Plan | $40 | N/A |
| Amerihealth | $56 - $483 | N/A |
| Americhoice | $60 - $83 | N/A |
| UnitedHealthcare | $60 - $458 | N/A |
| Horizon | $64 - $451 | N/A |
| Self Pay | $69 - $97 | N/A |
| Tricare | $106 - $148 | N/A |
| Amerigroup | $120 - $168 | N/A |
| Wellcare | $139 - $193 | N/A |
| Cigna | $175 - $244 | N/A |
| Great West Life | $175 - $244 | N/A |
| Magnacare | $185 - $580 | N/A |
| Evernorth | $231 - $322 | N/A |
| Qualcare Commercial | $231 - $322 | N/A |
| Devoted Health Plan | $231 - $322 | N/A |
| Aetna | $266 - $532 | N/A |
| First McO | $301 - $419 | N/A |
| Mutual of Omaha | $301 - $419 | N/A |
| Qualcare Wc | $301 - $419 | N/A |
| Active Care Plus | $301 - $419 | N/A |
| Consumer Health Network (Chn) | $324 - $580 | N/A |
| Donio Trucking | $324 - $451 | N/A |
| Devon/ Ullicare | $347 - $483 | N/A |
| Oxford | $347 - $483 | N/A |
| Private Healthcare System (PHCS) | $370 - $516 | N/A |
| Coventry Health Care | $370 - $516 | N/A |
| Blue Cross Blue Shield | $381 - $530 | N/A |
| Prime Health Services | $393 - $548 | N/A |
| Three Rivers Provider Network (Trpn) | $393 - $548 | N/A |
| Health Payors Org | $393 - $548 | N/A |
| Metrahealth of Nj | $393 - $548 | N/A |
| Health South | $393 - $548 | N/A |
| Intergroup Preferred Program | $416 - $580 | N/A |
| Department of Corrections | $416 - $580 | N/A |
| Multiplan | $416 - $580 | N/A |
| Galaxy Health Network | $416 - $580 | N/A |
| Metracomp | $416 - $580 | N/A |
| Provider Select, Inc | $416 - $580 | N/A |
| McS Commercial | $416 - $580 | N/A |
| Active Care Nj Pip | $416 - $580 | N/A |
| Beech Street | $416 - $580 | N/A |
| Health Network Inc | $416 - $580 | N/A |
| Choice Care | $416 - $580 | N/A |
| Master Care Inc | $428 - $596 | N/A |
| Atlantis Health Plan | $428 - $596 | N/A |
| Community Care Network | $440 - $612 | N/A |
| McSi/Mrsi No Fault | $440 - $612 | N/A |
| McSi/Mrsi Worker's Comp | $440 - $612 | N/A |
| Health Network America | $440 - $612 | N/A |
| National Health Plan | $440 - $612 | N/A |
| Advance Healthcare System | $440 - $612 | N/A |