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
$36
Average
$151
Median
$67
High
$1.2k
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19 hospital rates
iThe hospitals that file a Medica 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 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 3 | $77 | $71 | $11 | 16% | — | $56 – $81 |
| 2 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 3 | $77 | $71 | $11 | 16% | — | $56 – $81 |
| 3 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 3 | $77 | $71 | $11 | 16% | — | $56 – $81 |
| 4 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 3 | $77 | $71 | $11 | 16% | — | $56 – $81 |
| 5 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 3 | $77 | $71 | $11 | 16% | — | $56 – $81 |
| 6 | GOOD SAMARITAN HOSPITAL Kearney, NE fee schedule · inpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 7 | GOOD SAMARITAN HOSPITAL Kearney, NE fee schedule · outpatient | 3 | $77 | $71 | $12 | 16% | — | $55 – $81 |
| 8 | International Falls Memorial Hospital Association International Falls, MN professional · fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 9 | NEBRASKA HEART HOSPITAL Lincoln, NE fee schedule · inpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 10 | NEBRASKA HEART HOSPITAL Lincoln, NE fee schedule · outpatient | 3 | $77 | $69 | $14 | 21% | — | $48 – $81 |
| 11 | SAINT ELIZABETH REGIONAL MEDICAL CENTER Lincoln, NE fee schedule · inpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 12 | SAINT ELIZABETH REGIONAL MEDICAL CENTER Lincoln, NE fee schedule · outpatient | 3 | $77 | $67 | $17 | 26% | — | $42 – $81 |
| 13 | SAINT FRANCIS MEDICAL CENTER Grand Island, NE fee schedule · inpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 14 | SAINT FRANCIS MEDICAL CENTER Grand Island, NE fee schedule · outpatient | 3 | $77 | $71 | $12 | 17% | — | $54 – $81 |
| 15 | ST. ALEXIUS MEDICAL CENTER Bismarck, ND fee schedule · inpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 16 | ST. ALEXIUS MEDICAL CENTER Bismarck, ND fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 17 | ST. MARY'S COMMUNITY HOSPITAL Nebraska City, NE fee schedule · inpatient | 4 | $65 | $65 | $2 | 3% | — | $64 – $67 |
| 18 | ST. MARY'S COMMUNITY HOSPITAL Nebraska City, NE fee schedule · outpatient | 5 | $64 | $58 | $15 | 26% | — | $28 – $67 |
| 19 | Saint Elizabeth’s Hospital of Wabasha Inc Wabasha, MN facility · case rate · outpatient | 3 | $711 | $1.2k | $711 | 59% | — | $711 – $2.2k |
← Payers reporting CPT 0054A · Snapshot 20261113T090226Z-3ce6c0b8