Moderna COVID-19 vaccine, first dose administration

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 100mcg/0.5ml 1st

Payers reporting CPT 0011A

52 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.

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +20 other terms	56	$59.66	$89.99	$29.07 – $208.40
2	UnitedHealthcare fee schedule · outpatient · +22 other terms	50	$43.16	$45.43	$10.78 – $75.84
3	Aetna fee schedule · both · +18 other terms	43	$40.00	$44.44	$29.12 – $94.00
4	Anthem fee schedule · outpatient · +14 other terms	31	$18.24	$20.76	$15.87 – $72.25
5	Humana fee schedule · outpatient · +12 other terms	27	$56.87	$86.74	$15.00 – $155.23
6	Molina facility · case rate · outpatient · +9 other terms	27	$25.15	$25.10	$10.84 – $56.80
7	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$42.92	$34.99	$9.88 – $46.40
8	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges	25	$12.00	$12.84	$6.40 – $24.80
9	MultiPlan fee schedule · inpatient · +13 other terms	19	$65.45	$66.35	$44.10 – $75.05
10	Medica fee schedule · outpatient · +2 other terms	17	$67.24	$65.13	$25.90 – $78.00
11	Caresource facility · case rate · outpatient · +7 other terms	15	$15.76	$16.93	$10.53 – $26.74
12	Cigna fee schedule · outpatient · +16 other terms	14	$46.33	$57.71	$40.00 – $90.00
13	Optum facility · case rate · outpatient · +10 other terms	13	$14.90	$17.52	$13.16 – $25.75
14	Wellmark fee schedule · both · +8 other terms	13	$40.00	$40.00	$40.00 – $40.00
15	Bcbs Nc fee schedule · both	11	$67.80	$67.80	$67.80 – $67.80
16	Phcs fee schedule · inpatient · +7 other terms	10	$54.67	$61.81	$54.67 – $72.52
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 · +5 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	Tricare facility · fee schedule · outpatient · +6 other terms	7	$77.00	$94.88	$1.00 – $302.00
22	First Health fee schedule · outpatient · +13 other terms	5	$45.88	$63.71	$45.88 – $122.40
23	Highmark facility · fee schedule · outpatient · +6 other terms	5	$133.39	$125.96	$38.15 – $280.60
24	Regence fee schedule · outpatient · +4 other terms	5	$68.86	$68.86	$52.60 – $81.84
25	Medicaid fee schedule · both · +5 other terms	4	$45.87	$57.90	$45.87 – $94.00

Page 1 of 3 · 52 payers