APC 9399

Pneumococcal and influenza vaccines

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Pneumococcal, Influenza,

Payers reporting APC 9399

Payer pricing summary

Low

$19

Average

$44

Median

$39

High

$103

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$37	$37	$2	4%	—	$32 – $47
2	Humana fee schedule · outpatient · +3 other terms	161	$36	$38	$11	29%	—	$32 – $151
3	Aetna fee schedule · outpatient · +3 other terms	155	$37	$38	$5	13%	—	$32 – $64
4	WellCare fee schedule · outpatient · +2 other terms	131	$37	$37	$2	5%	—	$32 – $46
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	126	$36	$38	$8	20%	—	$32 – $113
6	Devoted fee schedule · outpatient	122	$36	$36	$1	3%	—	$32 – $38
7	Cigna Healthspring fee schedule · outpatient	110	$38	$37	$2	4%	—	$36 – $40
8	Molina fee schedule · outpatient · +2 other terms	69	$53	$52	$20	38%	—	$34 – $95
9	Superior Healthplan fee schedule · outpatient	40	$38	$38	$0	0%	—	$38 – $38
10	Anthem fee schedule · outpatient · +1 other terms	31	$38	$38	$2	5%	—	$34 – $46
11	Oscar fee schedule · outpatient	27	$36	$40	$9	22%	—	$36 – $64
12	Amerihealth Caritas fee schedule · outpatient	17	$45	$44	$2	5%	—	$39 – $45
13	Cigna fee schedule · outpatient · +1 other terms	16	$37	$37	$3	9%	—	$35 – $50
14	Clover fee schedule · outpatient · +1 other terms	15	$38	$36	$2	5%	—	$33 – $38
15	Kaiser fee schedule · outpatient · +1 other terms	15	$39	$39	$0	1%	—	$38 – $39
16	Ambetter case rate · outpatient · +2 other terms	12	$61	$71	$12	17%	—	$60 – $85
17	Medicare case rate · outpatient · +1 other terms	8	$34	$34	$1	2%	—	$34 – $36
18	Optum fee schedule · outpatient	8	$36	$54	$26	48%	—	$35 – $91
19	Tricare case rate · outpatient · +1 other terms	7	$32	$32	—	—	—	$32 – $32
20	Excellus case rate · outpatient	5	$102	$103	$26	26%	—	$63 – $150
21	Highmark case rate · outpatient	5	$45	$64	$24	38%	—	$45 – $106
22	Sanford Health Plan case rate · outpatient	3	$53	$54	$5	10%	—	$45 – $62
23	Aetna Better Health facility · case rate · outpatient	1	$28	$28	$9	32%	—	$19 – $38
24	Magellan fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35
25	Medicaid facility · case rate · outpatient	1	$19	$19	—	—	—	$19 – $19