CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 90656 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90656
Insurance Median: $209
Cash Discount Price: Unavailable
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Flu vaccine (high dose) at Atlanticare Regional Medical Center - City Campus is $209. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1925 Pacific Avenue, Atlantic City, NJ.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$209

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
Health Partners Plan	$23	N/A
UnitedHealthcare	$23 - $162	N/A
Oxford	$23	N/A
Amerihealth	$27 - $209	N/A
Americhoice	$36	N/A
Horizon	$39 - $195	N/A
Self Pay	$42	N/A
Tricare	$64	N/A
Amerigroup	$72	N/A
Wellcare	$84	N/A
Cigna	$106	N/A
Great West Life	$106	N/A
Magnacare	$111 - $251	N/A
Evernorth	$139	N/A
Qualcare Commercial	$139	N/A
Devoted Health Plan	$139	N/A
Aetna	$160 - $230	N/A
Qualcare Wc	$181	N/A
First McO	$181	N/A
Mutual of Omaha	$181	N/A
Active Care Plus	$181	N/A
Donio Trucking	$195	N/A
Consumer Health Network (Chn)	$195 - $251	N/A
Devon/ Ullicare	$209	N/A
Coventry Health Care	$223	N/A
Private Healthcare System (PHCS)	$223	N/A
Blue Cross Blue Shield	$229	N/A
Three Rivers Provider Network (Trpn)	$237	N/A
Prime Health Services	$237	N/A
Health South	$237	N/A
Health Payors Org	$237	N/A
Metrahealth of Nj	$237	N/A
Choice Care	$251	N/A
Health Network Inc	$251	N/A
Metracomp	$251	N/A
Beech Street	$251	N/A
Provider Select, Inc	$251	N/A
Active Care Nj Pip	$251	N/A
Multiplan	$251	N/A
Intergroup Preferred Program	$251	N/A
Department of Corrections	$251	N/A
Galaxy Health Network	$251	N/A
McS Commercial	$251	N/A
Atlantis Health Plan	$258	N/A
Master Care Inc	$258	N/A
Community Care Network	$265	N/A
Advance Healthcare System	$265	N/A
National Health Plan	$265	N/A
McSi/Mrsi Worker's Comp	$265	N/A
Health Network America	$265	N/A
McSi/Mrsi No Fault	$265	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 $X.
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 Atlanticare Regional Medical Center - City Campus 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.