CPT 0091A
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
Fee covid-19 vac 10 dose 1
Low
$13
Average
$102
Median
$57
High
$932
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
43 payers; the 90th percentile is 6.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +20 other terms | 34 | $51 | $48 | $19 | 40% | — | $11 – $76 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +13 other terms | 32 | $88 | $90 | $50 | 56% | — | $32 – $177 |
| 3 | Molina facility · case rate · outpatient · +9 other terms | 27 | $25 | $25 | $10 | 41% | — | $11 – $57 |
| 4 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 26 | $43 | $35 | $9 | 27% | — | $10 – $46 |
| 5 | Anthem fee schedule · outpatient · +12 other terms | 22 | $27 | $28 | $7 | 24% | — | $18 – $72 |
| 6 | Humana fee schedule · outpatient · +9 other terms | 19 | $52 | $64 | $32 | 50% | — | $13 – $103 |
| 7 | MultiPlan fee schedule · inpatient · +10 other terms | 18 | $66 | $68 | $5 | 7% | — | $58 – $75 |
| 8 | Medica fee schedule · outpatient · +1 other terms | 17 | $58 | $60 | $13 | 21% | — | $26 – $76 |
| 9 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $16 | $17 | $4 | 23% | — | $11 – $27 |
| 10 | Ambetter facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 13 | $52 | $52 | — | — | — | $52 – $52 |
← Hospitals reporting CPT 0091A · Snapshot 20261113T090226Z-3ce6c0b8