CMS Price Transparency Data

Pneumococcal vaccine

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $963
Cash Discount Price: Unavailable
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Atlanticare Regional Medical Center - City Campus is $963. 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

$963

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
Amerihealth	$124 - $962	N/A
Oxford	$133	N/A
UnitedHealthcare	$133 - $745	N/A
Health Partners Plan	$133	N/A
Americhoice	$166	N/A
Horizon	$179 - $900	N/A
Self Pay	$193	N/A
Tricare	$296	N/A
Amerigroup	$334	N/A
Wellcare	$386	N/A
Cigna	$487	N/A
Great West Life	$487	N/A
Magnacare	$514 - $1,157	N/A
Qualcare Commercial	$643	N/A
Devoted Health Plan	$643	N/A
Evernorth	$643	N/A
Aetna	$739 - $1,061	N/A
Qualcare Wc	$835	N/A
Mutual of Omaha	$835	N/A
First McO	$835	N/A
Active Care Plus	$835	N/A
Consumer Health Network (Chn)	$900 - $1,157	N/A
Donio Trucking	$900	N/A
Devon/ Ullicare	$964	N/A
Coventry Health Care	$1,028	N/A
Private Healthcare System (PHCS)	$1,028	N/A
Blue Cross Blue Shield	$1,057	N/A
Prime Health Services	$1,092	N/A
Three Rivers Provider Network (Trpn)	$1,092	N/A
Health South	$1,092	N/A
Health Payors Org	$1,092	N/A
Metrahealth of Nj	$1,092	N/A
Health Network Inc	$1,157	N/A
Active Care Nj Pip	$1,157	N/A
Galaxy Health Network	$1,157	N/A
McS Commercial	$1,157	N/A
Multiplan	$1,157	N/A
Beech Street	$1,157	N/A
Choice Care	$1,157	N/A
Metracomp	$1,157	N/A
Intergroup Preferred Program	$1,157	N/A
Department of Corrections	$1,157	N/A
Provider Select, Inc	$1,157	N/A
Atlantis Health Plan	$1,189	N/A
Master Care Inc	$1,189	N/A
McSi/Mrsi No Fault	$1,221	N/A
Community Care Network	$1,221	N/A
National Health Plan	$1,221	N/A
McSi/Mrsi Worker's Comp	$1,221	N/A
Advance Healthcare System	$1,221	N/A
Health Network America	$1,221	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: 90732.

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 90732.
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.