CMS Price Transparency Data

Typhoid vaccine

Facility: Southern Ocean Medical Center

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $875
Cash Discount Price: $312
vs. Medicare Baseline: 2.78x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at Southern Ocean Medical Center is $875. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $312. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 2.78x the Medicare baseline. Located in 1140 Rt 72 W, Manahawkin, NJ.

Cash / Self-Pay

$312

Average discount available for prompt cash payment at this facility.

Insurance Median

$875

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$315.22

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $315.22 (100%)

Cash / Self-Pay: $312 (99%)

Insurance Median: $875 (278%)

Cash: $312 (99% of Medicare)

Ins. Median: $875 (278% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $315.22 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 278% of the Medicare baseline (a markup of 178%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Horizon	$265 - $1,596	84%
Clover	$291 - $314	92%
Blue Cross Blue Shield	$312	99%
Vaccn	$312	99%
United Community/Americhoice	$328	104%
Aetna	$340 - $1,367	108%
UnitedHealthcare	$374 - $1,028	119%
Karna	$423	134%
Amerihealth	$470 - $555	149%
Cigna	$509 - $1,396	161%
Wellcare	$728 - $785	231%
Qualcare	$757 - $817	240%
Amerigroup	$808 - $873	256%
Seoul Medical Group	$808 - $873	256%
Oxford	$875 - $944	278%
Bergen Risk	$970 - $1,047	308%
Multiplan - PHCS	$1,374 - $1,483	436%
Brighton Health Plan	$1,455 - $1,571	462%

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 $312.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90675.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Southern Ocean Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90675.
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.