CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Jefferson Stratford Hospital

Billing Code: 90656 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90656
Insurance Median: $24
Cash Discount Price: $35
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Flu vaccine (high dose) at Jefferson Stratford Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 18 East Laurel Road, Stratford, NJ.

Cash / Self-Pay

$35

Average discount available for prompt cash payment at this facility.

Insurance Median

$24

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
PA Health_Wellness Chc	$13	N/A
UnitedHealthcare	$22 - $25	N/A
Innovage	$23 - $24	N/A
Blue Cross Blue Shield	$23	N/A
Highmark Wholecare Gateway	$23	N/A
Medicare (plans)	$23 - $24	N/A
Point of Comfort Refugee Resettlement	$23	N/A
Tricare	$23	N/A
Horizon Nj Health Nj	$23	N/A
St Agnes	$23	N/A
Inspira Life	$23	N/A
Cigna	$24 - $34	N/A
Aetna	$24 - $30	N/A
Devoted Health Participation	$24	N/A
Humana	$24	N/A
Provider Partners Health Plan	$25	N/A
Allwell PA Health_Wellness Ma	$26	N/A
Jeff Nj Amerihealth_Ibc	$27	N/A
Geisinger Health Plan	$27 - $95	N/A
New Jersey Amerigroup	$27	N/A
Ibc Main Line Health	$29	N/A
Ibc Employee Benefit	$29	N/A
Ambetter / Centene	$34 - $35	N/A
Naphcare	$37	N/A
Highmark	$52 - $61	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 $35.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90656.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Jefferson Stratford Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90656.
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.