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
$13
Average
$36
Median
$25
High
$69
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
18 hospitals; the 90th percentile is 2.4× 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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21 hospital rates
iThe hospitals that file a Highmark 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 | Boone Memorial Hospital Madison, WV other · both | 1 | $20 | $20 | $9 | 44% | — | $11 – $29 |
| 2 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 3 | Fox Chase Cancer Center Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $25 | $25 | $0 | 1% | — | $25 – $25 |
| 4 | Lancaster General Health Lancaster, PA facility · other · outpatient | 5 | $54 | $57 | $15 | 26% | — | $39 – $81 |
| 5 | Lancaster General Health Lancaster, PA facility · percent of total billed charges · inpatientfrom % of charges | 5 | $80 | $80 | — | — | — | $80 – $80 |
| 6 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · other · outpatient | 2 | $48 | $48 | $29 | 60% | — | $19 – $77 |
| 7 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 8 | Temple Health - Chestnut Hill Hospital Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $25 | $25 | $0 | 1% | — | $25 – $25 |
| 9 | Temple University Hospital - Episcopal Campus Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $25 | $25 | $0 | 1% | — | $25 – $25 |
| 10 | Temple University Hospital - Fox Chase Campus East Norriton, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $25 | $25 | $0 | 1% | — | $25 – $25 |
| 11 | Temple University Hospital - Jeanes Campus Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $25 | $25 | $0 | 1% | — | $25 – $25 |
| 12 | Temple University Hospital - Northeastern Campus Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $25 | $25 | $0 | 1% | — | $25 – $25 |
| 13 | Temple University Hospital, Inc.- Main Campus Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $25 | $25 | $0 | 1% | — | $25 – $25 |
| 14 | Temple Women & Families Hospital Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $25 | $25 | $0 | 1% | — | $25 – $25 |
| 15 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · other · outpatient | 2 | $48 | $48 | $29 | 60% | — | $19 – $77 |
| 16 | UPMC Magee-Womens Hospital Pittsburgh, PA facility · fee schedule · outpatient | 6 | $68 | $67 | $30 | 44% | — | $17 – $117 |
| 17 | UPMC Magee-Womens Hospital Pittsburgh, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 18 | UPMC Passavant - McCandless Cranberry Township, PA facility · fee schedule · outpatient | 6 | $55 | $61 | $33 | 54% | — | $17 – $126 |
| 19 | UPMC Passavant - McCandless Cranberry Township, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 20 | UPMC Wellsboro Wellsboro, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $13 | $13 | $5 | 41% | — | $8 – $20 |
| 21 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 2 | $52 | $52 | — | — | — | $52 – $52 |
← Payers reporting CPT 0064A · Snapshot 20261113T090226Z-3ce6c0b8