COVID-19 vaccine third dose administration (Pfizer)

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

HC Adm Sarscov2 30mcg/0.3ml 3rd Immuno

Payers reporting CPT 0003A

48 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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1	UnitedHealthcare fee schedule · outpatient · +21 other terms	42	$41.58	$44.74	$10.22 – $71.32
2	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	38	$71.35	$84.87	$29.07 – $177.20
3	Molina facility · case rate · outpatient · +9 other terms	27	$25.15	$25.10	$10.84 – $56.80
4	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$42.92	$34.99	$9.88 – $46.40
5	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges	25	$12.00	$12.84	$6.40 – $24.80
6	Anthem fee schedule · outpatient · +11 other terms	24	$18.24	$19.48	$15.87 – $72.25
7	MultiPlan fee schedule · outpatient · +13 other terms	17	$62.05	$61.96	$20.00 – $70.56
8	Humana fee schedule · outpatient · +10 other terms	16	$56.51	$65.80	$20.00 – $102.88
9	Ambetter facility · percent of total billed charges · outpatientfrom % of charges · +5 other terms	15	$52.00	$52.79	$52.00 – $61.60
10	Caresource facility · case rate · outpatient · +6 other terms	15	$15.76	$16.93	$10.53 – $26.74
11	Medica fee schedule · outpatient · +1 other terms	15	$69.33	$65.44	$25.20 – $80.61
12	Aetna fee schedule · both · +17 other terms	14	$39.89	$39.82	$29.12 – $45.00
13	Optum facility · case rate · outpatient · +8 other terms	13	$14.90	$17.52	$13.16 – $25.75
14	Wellmark fee schedule · both · +6 other terms	13	$40.00	$40.00	$40.00 – $40.00
15	Cigna fee schedule · outpatient · +17 other terms	12	$40.40	$51.29	$40.00 – $86.00
16	Phcs fee schedule · inpatient · +7 other terms	10	$51.83	$59.32	$51.83 – $70.56
17	Bcbs Pa facility · fee schedule · outpatient · +1 other terms	8	$42.67	$42.50	$38.00 – $44.00
18	Aetna Better Health facility · case rate · outpatient · +6 other terms	7	$32.53	$32.21	$29.42 – $32.53
19	Amerihealth Caritas facility · case rate · outpatient · +3 other terms	7	$29.82	$30.21	$29.82 – $32.54
20	Bcbs Mn fee schedule · outpatient · +1 other terms	7	$40.48	$40.46	$40.00 – $40.72
21	Regence fee schedule · outpatient · +4 other terms	5	$68.86	$68.86	$52.60 – $81.84
22	First Health fee schedule · outpatient · +10 other terms	4	$45.88	$65.01	$45.88 – $122.40
23	Highmark facility · fee schedule · outpatient · +5 other terms	4	$56.57	$60.99	$17.11 – $125.88
24	Medicaid facility · case rate · outpatient · +4 other terms	4	$33.56	$33.56	$27.11 – $40.00
25	Tricare fee schedule · both · +3 other terms	4	$38.97	$38.97	$38.97 – $38.97

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