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
$53
Average
$75
Median
$60
High
$124
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26 hospital rates
iThe hospitals that file a Kaiser 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 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · inpatientfrom % of charges | 3 | $53 | $55 | $6 | 10% | — | $50 – $63 |
| 2 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · outpatientfrom % of charges | 3 | $52 | $55 | $5 | 9% | — | $50 – $61 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO percent of total billed charges · outpatientfrom % of charges | 2 | $79 | $79 | $18 | 22% | — | $61 – $97 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · inpatientfrom % of charges | 2 | $147 | $147 | $17 | 12% | — | $130 – $164 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 3 | $130 | $108 | $58 | 53% | — | $29 – $164 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO percent of total billed charges · inpatientfrom % of charges | 3 | $53 | $55 | $6 | 10% | — | $50 – $63 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO percent of total billed charges · outpatientfrom % of charges | 3 | $52 | $55 | $5 | 9% | — | $50 – $61 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 12 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 2 | $55 | $55 | $6 | 11% | — | $49 – $61 |
| 13 | Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $51 | $51 | $10 | 19% | — | $41 – $61 |
| 14 | LONGMONT UNITED HOSPITAL Longmont, CO percent of total billed charges · inpatientfrom % of charges | 2 | $58 | $58 | $5 | 9% | — | $53 – $63 |
| 15 | LONGMONT UNITED HOSPITAL Longmont, CO percent of total billed charges · outpatientfrom % of charges | 2 | $57 | $57 | $4 | 8% | — | $52 – $61 |
| 16 | ORTHOCOLORADO, LLC Lakewood, CO percent of total billed charges · inpatientfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 17 | ORTHOCOLORADO, LLC Lakewood, CO percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 18 | St Francis Hospital Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 19 | St Francis Hospital Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 20 | St. Charles Bend Bend, OR percent of total billed charges · bothfrom % of charges | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 21 | St. Charles Madras Madras, OR percent of total billed charges · bothfrom % of charges | 3 | $49 | $60 | $32 | 52% | — | $29 – $104 |
| 22 | St. Charles Prineville Prineville, OR percent of total billed charges · bothfrom % of charges | 3 | $42 | $60 | $31 | 52% | — | $33 – $104 |
| 23 | St. Charles Redmond Redmond, OR percent of total billed charges · bothfrom % of charges | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 24 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · case rate · inpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 25 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
← Payers reporting CPT 0054A · Snapshot 20261113T090226Z-3ce6c0b8