CPT 0111A

COVID-19 vaccine first dose for children (Moderna)

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Adm Sarscov2 25mcg/0.25ml 1st

Payer pricing summary

Low

Average

$80

Median

$50

High

$665

Payer rate distribution

Filter by billing methodology

All methodologies Case rate 14 Fee schedule 30 Per diem 8 Percent of billed charges 34 Other 18

Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +15 other terms	37	$76	$88	$51	58%	—	$24 – $177
2	UnitedHealthcare fee schedule · outpatient · +21 other terms	37	$47	$48	$18	38%	—	$11 – $76
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 · +13 other terms	22	$27	$28	$7	24%	—	$18 – $72
6	Humana fee schedule · outpatient · +12 other terms	19	$52	$64	$32	50%	—	$13 – $103
7	MultiPlan fee schedule · inpatient · +13 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 · +3 other terms	15	$16	$17	$4	23%	—	$11 – $27
10	Optum facility · case rate · outpatient · +8 other terms	13	$15	$18	$5	27%	—	$13 – $26

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