CMS Price Transparency Data

Hepatitis B vaccine

Facility: Johnson Memorial Hospital

Billing Code: 90744 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90744
Insurance Median: $114
Cash Discount Price: $139
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hepatitis B vaccine at Johnson Memorial Hospital is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $139. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 201 Chestnut Hill Road, Stafford Springs, CT.

Cash / Self-Pay

$139

Average discount available for prompt cash payment at this facility.

Insurance Median

$114

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
Connecticare	$16 - $27	N/A
Connecticut Dept of Correction	$31	N/A
Fallon Health	$34	N/A
Medicare (plans)	$34 - $55	N/A
Health Partners	$37	N/A
Allegiance	$37	N/A
Cigna	$37 - $108	N/A
Magnacare	$37	N/A
UnitedHealthcare	$53 - $139	N/A
Blue Cross Blue Shield	$53 - $139	N/A
Aetna	$53 - $108	N/A
Cca Senior Care Options	$54	N/A
Health New England	$90	N/A
Hap	$108	N/A
Gravie Admin Services	$108	N/A
Luminare Health	$108	N/A
Meritain	$108	N/A
Webtpa	$108	N/A
1199 National Benefit Fund	$108	N/A
Allied Benefit Systems	$108	N/A
Nippon Life Ins	$108	N/A
Geha	$111	N/A
Harvard Pilgrim Healthcare	$111	N/A
Prime Health Services	$111	N/A
Innovative Health Plan II	$114	N/A
Claimdoc	$114	N/A
Diversified Administrators	$114	N/A
PHCS	$115	N/A
Pan-American Life	$115	N/A
Ghc Scw	$115	N/A
Manhattan Life	$115	N/A
Trinity Health Share	$115	N/A
Allied National Global Care	$115	N/A
Dean Health	$115	N/A
Asrm - Reliance Standard Life Insurance	$115	N/A
Paramount HMO	$115	N/A
Mvp	$115	N/A
International Benefit Administrators	$115	N/A
Multiplan	$115	N/A
Pai	$115	N/A
Medi Share	$115	N/A
Family Life Insurance Company	$115	N/A
Christian Care Ministry	$115	N/A
Lifetime Benefit Solutions	$115	N/A
Health Smart	$118	N/A
Centivo	$126	N/A
Pre-Employment	$139	N/A
Blue Shield - Wa (Regence)	$139	N/A
Bcn Domestic	$139	N/A
Blue Shield - Ny Highmark Northeastern	$139	N/A
Blue Distinction Transplant	$139	N/A
Blue Shield - Ny Highmark Western	$139	N/A
United Behavioral Health Eap	$139	N/A
Wc Domestic	$139	N/A
Unicare	$139	N/A
Blue Shield - Ca	$139	N/A
Wellpoint	$139	N/A
Health Choices	$139	N/A
Blue Shield - PA (Highmark)	$139	N/A
Blue Benefit Administrators of Massachusetts	$139	N/A
Blue Care Network	$139	N/A
Kaiser Domestic	$139	N/A
Blue Shield - Id (Regence)	$139	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 $139.
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 Johnson Memorial Hospital 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.