CMS Price Transparency Data

Flu vaccine (high dose)

Facility: University Medical Center of Princeton at Plainsboro

Billing Code: 90656 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90656
Insurance Median: $47
Cash Discount Price: $71
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Flu vaccine (high dose) at University Medical Center of Princeton at Plainsboro is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in One-Five Plainsboro Road, Plainsboro, NJ.

Cash / Self-Pay

$71

Average discount available for prompt cash payment at this facility.

Insurance Median

$47

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
Medicaid / KanCare	$2 - $74	N/A
Aetna	$2 - $98	N/A
Charity Care	$2 - $7	N/A
Wellcare	$2 - $8	N/A
Blue Cross Blue Shield	$4 - $61	N/A
Preferred Health Care Eliance	$5 - $19	N/A
Cigna	$8 - $74	N/A
Horizon Behavioral Health	$8 - $28	N/A
Beacon Health Options	$10 - $37	N/A
Magnacare	$13 - $52	N/A
Princeton Theological Seminary	$14 - $48	N/A
Health Net	$15 - $52	N/A
Coventry	$15 - $52	N/A
UnitedHealthcare	$16 - $61	N/A
Intergrated Health Plan	$17 - $59	N/A
Beech Street	$17 - $63	N/A
Penn Global Medicine Embassy Only	$17 - $59	N/A
Medicare (plans)	$17 - $68	N/A
Intergroup	$17 - $59	N/A
VA Medical Center	$17 - $61	N/A
First Managed Care Option	$18 - $63	N/A
Consumer Health Network	$18 - $63	N/A
Tri-State	$18 - $63	N/A
Ie Shaffer	$18 - $63	N/A
Allied Trades	$18 - $63	N/A
Qualcare	$18 - $63	N/A
Devon Health Services	$18 - $63	N/A
Total Care Network	$18 - $63	N/A
Private Healthcare Systems	$18 - $63	N/A
Clover Health Plan	$18 - $65	N/A
Humana	$19 - $66	N/A
Life St. Francis	$21 - $74	N/A
Commercial Other	$21 - $74	N/A
Managed Health Network	$21 - $74	N/A
Penn Behavioral Health Corporate Services	$21 - $74	N/A
Amerihealth	$21 - $32	N/A
Us Family Health Plan	$21 - $23	N/A
Concern Plus	$21 - $74	N/A
Compsych	$21 - $74	N/A
Personnel Health Program	$21 - $74	N/A
United Behavioral Health	$21 - $74	N/A
Magellan	$21 - $74	N/A
International Pfs	$21 - $74	N/A
Nj Carpenters	$21 - $74	N/A
Tricare	$21 - $23	N/A
Horizon Nj Health	$23	N/A
Elap	$25 - $111	N/A
Claim Watcher	$31 - $111	N/A
Centivo	$31 - $111	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 $71.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90656.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University Medical Center of Princeton at Plainsboro is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90656.
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.