CMS Price Transparency Data

Hepatitis B vaccine

Facility: Hackensack Meridian Health Pascack Valley Medical

Billing Code: 90744 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90744
Insurance Median: $30
Cash Discount Price: $24
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hepatitis B vaccine at Hackensack Meridian Health Pascack Valley Medical is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 250 Old Hook Road, Westwood, NJ.

Cash / Self-Pay

$24

Average discount available for prompt cash payment at this facility.

Insurance Median

$30

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
Healthscope Benefits [2290]	$6	N/A
UnitedHealthcare	$6 - $69	N/A
Medicaid / KanCare	$11 - $37	N/A
Medicare (plans)	$13 - $33	N/A
Aetna	$15 - $36	N/A
Cigna	$19	N/A
Mvp Health Plan [2180]	$19	N/A
National Association of Letter Carriers [1695]	$19	N/A
Beacon of Life [6030]	$24	N/A
Blue Cross Blue Shield	$24 - $69	N/A
Humana	$24 - $72	N/A
Pending County Rca [3910]	$24	N/A
Surgery Plus Lantern [6105]	$26	N/A
Amerihealth [3520]	$27 - $30	N/A
Black Lung [6055]	$30	N/A
Commercial Generic [1285]	$30	N/A
Create Flex / Select [3580]	$30	N/A
Healthcare Highways [2210]	$30	N/A
Horizon [3625]	$30 - $69	N/A
Lucent Health [6000]	$30	N/A
Oncology Patient Assistance Programs [2295]	$30	N/A
Selecthealth [3740]	$30	N/A
Web Tpa [2115]	$30 - $31	N/A
Worker's Comp [2125]	$30 - $66	N/A
Wtc Healthcare Sme Karna [8005]	$30	N/A
1199 Seiu Benefit Fund [3505]	$31	N/A
Allied Benefit Systems Inc [1030]	$31	N/A
Meritain Health [1655]	$31	N/A
Nippon Life Ins Co [3695]	$31	N/A
Qualcare [3725]	$62 - $72	N/A
Magnacare Commercial [3650]	$66	N/A
Emblem Health [2430]	$72	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 $24.
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 Hackensack Meridian Health Pascack Valley Medical 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.