CPT 0054A
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
Imm Admn Sarscov2 30mcg/0.3ml Tris-Sucrose Bst
Low
$11
Average
$46
Median
$30
High
$169
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98 hospital rates
iThe hospitals that file a Anthem rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 2 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 3 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 9 | $16 | $30 | $40 | 134% | — | $16 – $144 |
| 4 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · inpatientfrom % of charges | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 5 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · outpatientfrom % of charges | 2 | $121 | $121 | $48 | 39% | — | $74 – $169 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO percent of total billed charges · inpatientfrom % of charges | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO percent of total billed charges · outpatientfrom % of charges | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 2 | $118 | $118 | $51 | 43% | — | $67 – $169 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · inpatientfrom % of charges | 2 | $139 | $139 | $29 | 21% | — | $110 – $168 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 3 | $110 | $102 | $57 | 56% | — | $29 – $168 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO percent of total billed charges · inpatientfrom % of charges | 3 | $88 | $103 | $49 | 48% | — | $52 – $168 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO percent of total billed charges · outpatientfrom % of charges | 4 | $110 | $110 | $44 | 40% | — | $52 – $168 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO percent of total billed charges · inpatientfrom % of charges | 2 | $126 | $126 | $43 | 34% | — | $84 – $169 |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO percent of total billed charges · outpatientfrom % of charges | 4 | $95 | $111 | $35 | 32% | — | $84 – $169 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO percent of total billed charges · inpatientfrom % of charges | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO percent of total billed charges · outpatientfrom % of charges | 2 | $121 | $121 | $48 | 39% | — | $74 – $169 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 2 | $118 | $118 | $51 | 43% | — | $67 – $169 |
| 20 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 21 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 22 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 23 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 24 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 25 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
← Payers reporting CPT 0054A · Snapshot 20261113T090226Z-3ce6c0b8