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
HC Adm Sarscov2 50mcg/0.25mlbst -- Moderna Low Dose
Low
$15
Average
$46
Median
$26
High
$191
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
102 hospitals; the 90th percentile is 5.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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126 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 | $18 | $7 | 37% | — | $16 – $37 |
| 4 | Black River Health Inc Black River Falls, WI facility · fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 5 | Black River Health Inc Black River Falls, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 6 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · inpatientfrom % of charges | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 7 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · outpatientfrom % of charges | 2 | $79 | $79 | $31 | 39% | — | $48 – $110 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO percent of total billed charges · inpatientfrom % of charges | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO percent of total billed charges · outpatientfrom % of charges | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 2 | $77 | $77 | $33 | 43% | — | $44 – $110 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · inpatientfrom % of charges | 2 | $90 | $90 | $19 | 21% | — | $71 – $109 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 3 | $71 | $66 | $37 | 56% | — | $19 – $109 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO percent of total billed charges · inpatientfrom % of charges | 3 | $57 | $67 | $32 | 47% | — | $34 – $109 |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO percent of total billed charges · outpatientfrom % of charges | 4 | $71 | $72 | $29 | 40% | — | $34 – $109 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO percent of total billed charges · inpatientfrom % of charges | 2 | $82 | $82 | $28 | 34% | — | $54 – $110 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO percent of total billed charges · outpatientfrom % of charges | 4 | $62 | $72 | $23 | 32% | — | $54 – $110 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO percent of total billed charges · inpatientfrom % of charges | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO percent of total billed charges · outpatientfrom % of charges | 2 | $79 | $79 | $31 | 39% | — | $48 – $110 |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 2 | $77 | $77 | $33 | 43% | — | $44 – $110 |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO percent of total billed charges · outpatientfrom % of charges | 2 | $69 | $69 | $8 | 11% | — | $61 – $77 |
| 23 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 24 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 25 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
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