CMS Price Transparency Data

Typhoid vaccine

Facility: Good Samaritan Hospital of Suffern

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $522
Cash Discount Price: $1,739
vs. Medicare Baseline: 1.66x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at Good Samaritan Hospital of Suffern is $522. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,739. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 1.66x the Medicare baseline. Located in 255 Lafayette Avenue, Suffern, NY.

Cash / Self-Pay

$1,739

Average discount available for prompt cash payment at this facility.

Insurance Median

$522

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$315.22

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $315.22 (100%)

Cash / Self-Pay: $1,739 (552%)

Insurance Median: $522 (166%)

Cash: $1,739 (552% of Medicare)

Ins. Median: $522 (166% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $315.22 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

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
Medicare (plans)	$315 - $591	100%
Mvp Gold (McR)	$315	100%
Affinity By Molina McR	$331	105%
Beacon Exchange	$378	120%
Beacon Commercial	$410	130%
Self-Pay	$522	166%
Magnacare Standard	$522	166%
Emblem Select Care (Exchange)	$522	166%
Cigna	$522	166%
Oxford Commercial	$522	166%
Oxford Exchange	$522	166%
Mvp Exchange	$522	166%
Aetna	$522	166%
UnitedHealthcare	$522	166%
Emblem Ghi/Hip Hmo/Epo/Pos	$522	166%
Self-Pay - Cc 30%	$522	166%
Emblem Ghi/Hip PPO	$522	166%
Mvp Hmo/Ppo	$522	166%
Blue Cross Blue Shield	$522	166%
Cdphp	$870	276%
Self-Pay - Cc 50%	$870	276%
Geisinger Health Commercial/Exchange	$1,040	330%
PHCS	$1,217	386%
First Health	$1,304	414%
Multiplan	$1,304	414%
Magnacare Preferred	$1,565	496%
Tricare	$1,739	552%

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 $1,739.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90675.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Good Samaritan Hospital of Suffern is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90675.
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.