CPT 0054A

COVID-19 Pfizer booster vaccine 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

Imm Admn Sarscov2 30mcg/0.3ml Tris-Sucrose Bst

Payer pricing summary

Low

Average

$90

Median

$51

High

$812

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +21 other terms	33	$49	$46	$20	43%	—	$10 – $71
2	Molina facility · case rate · outpatient · +9 other terms	27	$25	$25	$10	41%	—	$11 – $57
3	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$43	$35	$9	27%	—	$10 – $46
4	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	26	$143	$116	$49	42%	—	$28 – $177
5	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges	25	$12	$13	$4	32%	—	$6 – $25
6	Anthem fee schedule · outpatient · +10 other terms	23	$30	$31	$39	129%	—	$16 – $144
7	Caresource facility · case rate · outpatient · +4 other terms	15	$16	$17	$4	23%	—	$11 – $27
8	Optum facility · case rate · outpatient · +8 other terms	13	$15	$18	$5	27%	—	$13 – $26
9	Wellmark fee schedule · both · +6 other terms	13	$40	$40	—	—	—	$40 – $40
10	Aetna fee schedule · both · +18 other terms	12	$40	$40	$1	3%	—	$34 – $40
11	MultiPlan fee schedule · inpatient · +13 other terms	12	$63	$60	$6	10%	—	$44 – $67
12	Bcbs Nc fee schedule · both	11	$68	$68	—	—	—	$68 – $68
13	Humana fee schedule · outpatient · +11 other terms	11	$57	$77	$28	36%	—	$28 – $103
14	Medica fee schedule · outpatient · +3 other terms	11	$71	$67	$15	22%	—	$28 – $81
15	Aetna Better Health facility · case rate · outpatient · +6 other terms	7	$33	$32	$1	3%	—	$29 – $33
16	Amerihealth Caritas facility · case rate · outpatient · +3 other terms	7	$30	$30	$1	3%	—	$30 – $33
17	Cigna fee schedule · outpatient · +13 other terms	7	$56	$62	$15	23%	—	$46 – $86
18	Phcs fee schedule · inpatient · +5 other terms	6	$53	$53	—	—	—	$53 – $53
19	Regence fee schedule · outpatient · +2 other terms	5	$69	$69	$11	16%	—	$53 – $82
20	Bcbs La other · outpatient · +1 other terms	4	$40	$36	$7	21%	—	$23 – $40
21	First Health fee schedule · outpatient · +7 other terms	4	$46	$65	$33	51%	—	$46 – $122
22	Highmark facility · fee schedule · outpatient · +4 other terms	4	$159	$234	$155	66%	—	$41 – $552
23	Medicaid facility · case rate · outpatient · +4 other terms	4	$34	$34	$6	19%	—	$27 – $40
24	Tricare fee schedule · both · +4 other terms	4	$39	$39	—	—	—	$39 – $39
25	Bcbs Ma fee schedule · outpatient	3	$46	$46	—	—	—	$46 – $46

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