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
HC Adm Sarscov2 Jannsen Booster Dose
54 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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Filter by billing class
| # | |||||
|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +20 other terms | 84 | $41.23 | $44.07 | $10.78 – $71.32 |
| 2 | Humana fee schedule · outpatient · +10 other terms | 65 | $40.69 | $49.23 | $39.49 – $102.88 |
| 3 | Anthem fee schedule · outpatient · +8 other terms | 61 | $40.46 | $23.45 | $15.87 – $72.25 |
| 4 | Aetna fee schedule · outpatient · +17 other terms | 56 | $40.87 | $42.14 | $21.80 – $98.40 |
| 5 | Molina facility · case rate · outpatient · +9 other terms | 35 | $31.62 | $32.69 | $10.84 – $85.12 |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +14 other terms | 33 | $88.00 | $89.76 | $29.07 – $177.20 |
| 7 | Cigna fee schedule · outpatient · +14 other terms | 31 | $40.69 | $43.42 | $40.00 – $86.00 |
| 8 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 26 | $42.92 | $34.99 | $9.88 – $46.40 |
| 9 | Kaiser fee schedule · outpatient · +2 other terms | 25 | $40.69 | $41.18 | $40.69 – $41.73 |
| 10 | Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges | 25 | $12.00 | $12.84 | $6.40 – $24.80 |
| 11 | Devoted fee schedule · outpatient · +6 other terms | 21 | $41.52 | $41.22 | $40.51 – $41.73 |
| 12 | Caresource facility · case rate · outpatient · +4 other terms | 20 | $17.13 | $31.08 | $10.53 – $83.04 |
| 13 | Medicare fee schedule · outpatient · +1 other terms | 19 | $40.69 | $40.66 | $40.00 – $40.69 |
| 14 | Optum other · outpatient · +7 other terms | 15 | $46.00 | $48.43 | $14.26 – $80.00 |
| 15 | Bcbs La other · outpatient · +1 other terms | 14 | $23.00 | $25.26 | $14.26 – $40.00 |
| 16 | WellCare case rate · outpatient · +6 other terms | 14 | $43.55 | $43.28 | $38.92 – $44.98 |
| 17 | Wellmark fee schedule · both · +4 other terms | 13 | $40.00 | $40.00 | $40.00 – $40.00 |
| 18 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 12 | $41.46 | $41.50 | $40.90 – $43.60 |
| 19 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 10 | $38.45 | $40.23 | $38.45 – $54.60 |
| 20 | Aetna Better Health facility · case rate · outpatient · +3 other terms | 9 | $32.53 | $33.70 | $29.42 – $44.15 |
| 21 | Ambetter facility · fee schedule · outpatient · +6 other terms | 8 | $69.21 | $69.90 | $69.21 – $74.74 |
| 22 | Bcbs Pa facility · fee schedule · outpatient · +1 other terms | 8 | $42.67 | $42.50 | $38.00 – $44.00 |
| 23 | Amerihealth Caritas facility · case rate · outpatient · +4 other terms | 7 | $29.82 | $30.21 | $29.82 – $32.54 |
| 24 | Bcbs Mn fee schedule · outpatient · +2 other terms | 7 | $40.48 | $40.46 | $40.00 – $40.72 |
| 25 | MultiPlan fee schedule · inpatient · +12 other terms | 7 | $65.45 | $62.40 | $44.10 – $65.45 |
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