CMS Price Transparency Data

Hepatitis B vaccine

Facility: Centrastate Medical Center

Billing Code: 90744 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90744
Insurance Median: $26
Cash Discount Price: $44
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hepatitis B vaccine at Centrastate Medical Center is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 901 West Main Street, Freehold, NJ.

Cash / Self-Pay

$44

Average discount available for prompt cash payment at this facility.

Insurance Median

$26

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
Aetna	$8 - $209	N/A
Blue Cross Blue Shield	$8 - $74	N/A
Medicaid / KanCare	$8 - $115	N/A
Untd Hlth Community Plan Behavioral Health [5293]	$10 - $11	N/A
Untd Hlth Community Plan [5034]	$10 - $11	N/A
Amerihealth Administrators Supplemental [5512]	$12 - $192	N/A
Amerihealth Medigap [5049]	$12 - $192	N/A
Allstate [5047]	$19 - $22	N/A
Amerihealth [5008]	$19 - $22	N/A
Church Mutual Wc Insurance Company [5524]	$19 - $22	N/A
Claim Watcher/Homestead [5488]	$19 - $22	N/A
Esurance No Fault [5105]	$19 - $22	N/A
First Managed Care Option [5109]	$19 - $37	N/A
Geico No Fault [5120]	$19 - $22	N/A
Hanover No Fault [5129]	$19 - $22	N/A
Hanover Workers Comp [5130]	$19 - $22	N/A
Hartford Worker's Compensation [5132]	$19 - $22	N/A
Hcs Network Solutions [5148]	$19 - $22	N/A
Inservco Workers Compensation [5158]	$19 - $37	N/A
Liberty Mutual No Fault [5173]	$19 - $22	N/A
Medlogix/Consumer Health Network (Chn) [5415]	$19 - $37	N/A
Nj Manufacturers No Fault [5203]	$19 - $22	N/A
Nj Manufacturers Workers Comp [5204]	$19 - $22	N/A
Occunet [5490]	$19 - $22	N/A
Praxis Workers Comp [5515]	$19 - $24	N/A
Progressive No Fault [5229]	$19 - $22	N/A
Selective Ins Workers Comp [5237]	$19 - $22	N/A
State Farm No Fault [5241]	$19 - $22	N/A
Strategic Comp [5518]	$19 - $22	N/A
The Fairly Group [5528]	$19 - $22	N/A
Travelers No Fault [5249]	$19 - $22	N/A
Usaa No Fault [5260]	$19 - $22	N/A
Zurich No Fault [5274]	$19 - $22	N/A
Zurich Workers Comp [5275]	$19 - $22	N/A
Aig Workers Compensation [5045]	$21 - $24	N/A
Amtrust North America Inc [5521]	$21 - $24	N/A
Berkshire Hathaway Guard Insurance Company [5529]	$21 - $24	N/A
Broadspire Workers Comp [5357]	$21 - $24	N/A
Ccmsi Wc [5525]	$21 - $24	N/A
Centrastate Monmouth County Jail [5427]	$21 - $24	N/A
Continental Assurance - PHCS [5092]	$21 - $24	N/A
Continental Casualty PHCS [5094]	$21 - $24	N/A
Coresource [5014]	$21 - $24	N/A
Kaiser Permanente [5162]	$21 - $24	N/A
Nationwide Mutual Insurance Company [5526]	$21 - $24	N/A
Private Healthcare Systems PPO (PHCS) [5227]	$21 - $24	N/A
Qual-Lynx Wc Preferred [5230]	$21 - $24	N/A
Qual-Lynx Wc Standard [5028]	$21 - $24	N/A
Sage Adjusting, LLC [5527]	$21 - $24	N/A
Wellpath Correctional [5485]	$21 - $24	N/A
1199 Seiu Benefit and Pension [5037]	$23 - $26	N/A
Allied Benefit Systems [5046]	$23 - $35	N/A
Banner Health Network [5510]	$23 - $26	N/A
Boon-Chapman [5441]	$23 - $26	N/A
Christian Brothers Services [5439]	$23 - $26	N/A
Continental Assurance [5091]	$23 - $26	N/A
Evolution Healthcare [5438]	$23 - $32	N/A
Healthez [5445]	$23 - $32	N/A
Healthsmart Benefit Solutions [5446]	$23 - $26	N/A
Luminare Health Benefits [5483]	$23 - $26	N/A
Marpai Health [5449]	$23 - $26	N/A
Meritain Health [5185]	$23 - $26	N/A
Nippon Benefit Life [5201]	$23 - $26	N/A
Occunet Secondary [5517]	$23 - $26	N/A
Starmark [5240]	$23 - $26	N/A
The Fairly Group Secondary [5531]	$23 - $26	N/A
Webtpa [5447]	$23 - $32	N/A
First Health Network [5108]	$25 - $28	N/A
Gallagher Bassett Workers Comp [5117]	$25 - $28	N/A
Ghi Emblem Health [5122]	$25 - $28	N/A
Humana	$25 - $28	N/A
Ila Local 1478-2 Welfare Fund [5448]	$25 - $28	N/A
Liberty Mutual Worker's Comp [5174]	$25 - $28	N/A
Magnacare [5177]	$25 - $28	N/A
Oscar [5213]	$25 - $28	N/A
Pma Workers Comp [5224]	$25 - $28	N/A
Qualcare [5026]	$25 - $28	N/A
Sedgwick [5235]	$25 - $28	N/A
Sentry Worker's Comp [5489]	$25 - $28	N/A
Travelers Workers Compensation [5250]	$25 - $28	N/A
Ambetter / Centene	$26 - $29	N/A
Cigna	$27 - $35	N/A
Multiplan [5194]	$27 - $30	N/A
Horizon Nj Health [5021]	$28	N/A
High Point No Fault [5146]	$31 - $35	N/A
Medlogix/Consumer Health Network Pip (Chn) [5414]	$31 - $35	N/A
Plymouth Rock Assurance No Fault [5222]	$31 - $35	N/A
Medicare (plans)	$32 - $150	N/A
Mvp Health Care [5197]	$32	N/A
Nalc [5198]	$32	N/A
Seafarers Health and Benefits Plan [5343]	$32	N/A
Tufts Health Plan [5344]	$32	N/A
Wtc Health Program [5273]	$32	N/A
Chubb Worker's Compensation [5075]	$33 - $37	N/A
Claims Resolution Corporation Inc [5520]	$33 - $37	N/A
Corvel Corporation [5522]	$33 - $37	N/A
Esis [5519]	$33 - $37	N/A
Medrisk/Spnet Worker's Comp [5452]	$33 - $37	N/A
Centivo [5405]	$35	N/A
Iaa - Insurance Administrators of America [5482]	$35	N/A
Apwu Healthcare [5053]	$39	N/A
Bundled Cases/Episodic Payment [5492]	$39 - $44	N/A
Carba R Generic [5530]	$39 - $44	N/A
Geha [5119]	$39	N/A
Golden Rule Insurance [5124]	$39	N/A
Harvard Pilgrim Healthcare [5133]	$39	N/A
Kessler Foundation [5532]	$39 - $12,000	N/A
Ntca [5208]	$39	N/A
Oxford Behavioral Health [5291]	$39	N/A
Oxford [5024]	$39	N/A
Streamline Worker's Comp [5540]	$39 - $44	N/A
Surest [5437]	$39	N/A
UnitedHealthcare	$39	N/A
Independence Bc [5479]	$74	N/A
Prime Healthcare [5435]	$74	N/A
Fairos [5491]	$79	N/A
Compassionate Care [5442]	$92	N/A
Us Marshall Service [5429]	$100	N/A
VA Community Care Network [5403]	$100	N/A
Cosmetic Surgery/Lap Band/Gastric Bypass [5289]	$115	N/A
Cs Card Rehab Cash Pay [5497]	$115	N/A
Cs Nutrition Consult-Initial and Follow Up [5493]	$115	N/A
Cs Pulmonary Rehab Cash Pay [5496]	$115	N/A
Cs Radiology Cash Pay [5498]	$115	N/A
Cs Rehab Cash Pay [5495]	$115	N/A
Cs Sports Performance Eval and Visits [5494]	$115	N/A
Specialty Imaging [5433]	$115	N/A
Sedgwick Wtc Health Program Wc [5514]	$128	N/A
Champva [5354]	$150	N/A
Highmark Wholecare Health Plan Ip Splits [5464]	$150	N/A
Highmark Wholecare Health Plan [5413]	$150	N/A
Tricare	$150	N/A
UPMC [5455]	$150	N/A
Us Family Health Plan [5258]	$150	N/A
Wellcare Behavioral Health [5335]	$150	N/A
Wellcare Health Plans Ip Splits [5475]	$150	N/A
Wellcare Health Plans [5269]	$150	N/A
Amerihealth Caritas Vip Care Ip Splits [5460]	$151	N/A
Amerihealth Caritas Vip Care [5313]	$151	N/A
Claimdoc [5434]	$220	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 $44.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90744.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Centrastate Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90744.
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.