CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 90716 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90716
Insurance Median: $610
Cash Discount Price: Unavailable
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Varicella (chickenpox) vaccine at Atlanticare Regional Medical Center - City Campus is $610. 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

$610

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
UnitedHealthcare	$105 - $578	N/A
Americhoice	$105	N/A
Horizon	$113 - $570	N/A
Self Pay	$122	N/A
Tricare	$187	N/A
Amerihealth	$199 - $610	N/A
Health Partners Plan	$203	N/A
Amerigroup	$212	N/A
Wellcare	$244	N/A
Cigna	$308	N/A
Great West Life	$308	N/A
Magnacare	$326 - $733	N/A
Evernorth	$407	N/A
Devoted Health Plan	$407	N/A
Qualcare Commercial	$407	N/A
Aetna	$468 - $672	N/A
Mutual of Omaha	$529	N/A
Qualcare Wc	$529	N/A
Active Care Plus	$529	N/A
First McO	$529	N/A
Consumer Health Network (Chn)	$570 - $733	N/A
Donio Trucking	$570	N/A
Oxford	$610	N/A
Devon/ Ullicare	$610	N/A
Coventry Health Care	$651	N/A
Private Healthcare System (PHCS)	$651	N/A
Blue Cross Blue Shield	$670	N/A
Prime Health Services	$692	N/A
Health Payors Org	$692	N/A
Three Rivers Provider Network (Trpn)	$692	N/A
Health South	$692	N/A
Metrahealth of Nj	$692	N/A
Metracomp	$733	N/A
Provider Select, Inc	$733	N/A
Choice Care	$733	N/A
Active Care Nj Pip	$733	N/A
Multiplan	$733	N/A
McS Commercial	$733	N/A
Health Network Inc	$733	N/A
Galaxy Health Network	$733	N/A
Beech Street	$733	N/A
Department of Corrections	$733	N/A
Intergroup Preferred Program	$733	N/A
Atlantis Health Plan	$753	N/A
Master Care Inc	$753	N/A
McSi/Mrsi No Fault	$773	N/A
Health Network America	$773	N/A
McSi/Mrsi Worker's Comp	$773	N/A
Community Care Network	$773	N/A
Advance Healthcare System	$773	N/A
National Health Plan	$773	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: 90716.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Atlanticare Regional Medical Center - City Campus is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90716.
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.