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CDM 77100070

HC IMM ADMN SARSCOV2 3MCG/0.2 ML 6M-4Y BIVALENT FIRST DOSE (PFIZER)

Reported by 30 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$44

Average

$75

Median

$61

High

$417

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$12$48$56$148$30
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$10$44$44$148$34
3Baylor Scott & White Medical Center - TaylorTaylor, TX$15$44$46$148$31
4Baylor Scott & White Medical Center - HillcrestWaco, TX$10$46$54$148$30
5Baylor University Medical CenterDallas, TX$14$52$417$7.4k$1.5k
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$13$50$69$259$66
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$16$52$59$148$30
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$12$48$56$148$31
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$9$51$63$198$44
10Baylor Scott & White Medical Center - PlanoPlano, TX$10$51$72$259$64
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