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
$27
Average
$38
Median
$40
High
$55
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11 hospital rates
iThe hospitals that file a Medicaid 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 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 2 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 3 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 4 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA fee schedule · both | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 5 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA per diem · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 6 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 7 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 8 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 9 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA fee schedule · both | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 10 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA per diem · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 11 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA percent of total billed charges · bothfrom % of charges | 3 | $64 | $76 | $35 | 46% | — | $41 – $124 |
← Payers reporting CPT 0054A · Snapshot 20261113T090226Z-3ce6c0b8