CPT 0104A
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
Adm Sarscv2 10 Mcg/0.2 Ml Sanofi-Gsk Booster Dose Ages 18 and Up
Prices here combine facility and professional fees. See them separately →Experimental
Low
$27
Average
$52
Median
$49
High
$259
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter below to change the chart. 36 hospitals; the 90th percentile is 2.1× 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.
Click a bar to filter the hospitals table to that price range.
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Hoopeston Community Memorial Hospital Hoopeston, IL | $58 | $62 | $34 | 55% | — | $12 – $109 |
| 2 | Deaconess Hospital, Inc Newburgh, IN | $29 | $30 | $8 | 27% | — | $10 – $43 |
| 3 | Baptist Memorial Hospital-North Mississippi Oxford, MS | $52 | $53 | $16 | 30% | — | $19 – $78 |
| 4 | Carle Eureka Hospital Eureka, IL | $71 | $61 | $23 | 38% | — | $12 – $100 |
| 5 | Baptist Memorial Hospital-Union County New Albany, MS | $53 | $53 | $15 | 29% | — | $18 – $78 |
| 6 | Baptist Memorial Hospital-DeSoto Southaven, MS | $48 | $48 | $13 | 28% | — | $19 – $78 |
| 7 | Deaconess Health System Gibson General Hospital Princeton, IN | $29 | $30 | $9 | 31% | — | $10 – $44 |
| 8 | Richland Memorial Hospital Inc Olney, IL | $58 | $58 | $31 | 54% | — | $25 – $105 |
| 9 | Deaconess Illinois Crossroads Inc Mount Vernon, IL | $38 | $33 | $11 | 32% | — | $10 – $43 |
| 10 | Baptist Memorial Hospital-Carroll County Huntingdon, TN | $53 | $51 | $16 | 32% | — | $19 – $78 |
Ask Claude or any MCP client for CPT 0104A pricing at a specific hospital — see how to connect.