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.
Original text from hospital filings
ADM SARSCOV2 30MCG/0.3ML BST
Low
$0
Average
$35
Median
$32
High
$86
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 18 hospitals; the 90th percentile is 6464.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Henry Ford Health Novi, MI | $46 | $49 | $4 | 8% | — | $46 – $54 |
| 2 | Boone Memorial Hospital Madison, WV | $29 | $29 | $0 | 1% | — | $29 – $29 |
| 3 | Henry Ford Health Twp, MI | $45 | $45 | — | — | — | $45 – $45 |
| 4 | Henry Ford Health Southfield, MI | $46 | $49 | $4 | 8% | — | $46 – $54 |
| 5 | Southcoast Hospitals Group, Inc. Bedford, MA | $0 | $0 | — | — | — | $0 – $0 |
| 6 | HealthAlliance Hospital Kingston, NY | $86 | $86 | $3 | 4% | — | $83 – $90 |
| 7 | University of Florida Health Gainesville, FL | $31 | $31 | — | — | — | $31 – $31 |
| 8 | Hawarden Regional Healthcare HARWARDEN, IA | $40 | $40 | — | — | — | $40 – $40 |
| 9 | Cape Fear Valley - Bladen County Hospital Elizabethtown, NC | $21 | $21 | — | — | — | $21 – $21 |
| 10 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA | $0 | $0 | — | — | — | $0 – $0 |
Ask Claude or any MCP client for CPT 0004A pricing at a specific hospital — see how to connect.