CMS Price Transparency Data
Tdap vaccine (tetanus, diphtheria, pertussis)
Facility: Jefferson Stratford Hospital
Billing Code: 90715 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90715
- Insurance Median: $40
- Cash Discount Price: $78
- vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Tdap vaccine (tetanus, diphtheria, pertussis) at Jefferson Stratford Hospital is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. 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
$78
Average discount available for prompt cash payment at this facility.
Insurance Median
$40
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
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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 |
|---|---|---|
| PA Health_Wellness Chc | $13 | N/A |
| Inspira Life | $40 | N/A |
| St Agnes | $40 | N/A |
| Aetna | $40 - $52 | N/A |
| UnitedHealthcare | $40 - $43 | N/A |
| Horizon Nj Health Nj | $40 | N/A |
| Humana | $40 | N/A |
| Blue Cross Blue Shield | $40 | N/A |
| Highmark Wholecare Gateway | $40 | N/A |
| Point of Comfort Refugee Resettlement | $40 | N/A |
| Medicare (plans) | $40 - $42 | N/A |
| Tricare | $40 | N/A |
| Innovage | $40 | N/A |
| Cigna | $41 - $82 | N/A |
| Provider Partners Health Plan | $42 | N/A |
| Devoted Health Participation | $42 | N/A |
| Allwell PA Health_Wellness Ma | $44 | N/A |
| Geisinger Health Plan | $46 - $162 | N/A |
| New Jersey Amerigroup | $47 | N/A |
| Ibc Main Line Health | $50 | N/A |
| Ibc Employee Benefit | $50 | N/A |
| Jeff Nj Amerihealth_Ibc | $56 | N/A |
| Ambetter / Centene | $58 - $60 | N/A |
| Naphcare | $64 | N/A |
| Highmark | $89 - $104 | N/A |