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

$13

Average

$52

Median

$51

High

$127

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	Aetna facility · percent of total billed charges · outpatientfrom % of charges · +8 other terms	56	$44	$39	$19	47%	—	$12 – $127
2	Blue Cross Blue Shield facility · percent of total billed charges · outpatientfrom % of charges · +7 other terms	51	$50	$49	$15	30%	—	$11 – $96
3	Humana facility · percent of total billed charges · outpatientfrom % of charges · +5 other terms	51	$56	$55	$11	19%	—	$31 – $79
4	Cigna facility · percent of total billed charges · outpatientfrom % of charges · +8 other terms	50	$43	$44	$13	30%	—	$24 – $115
5	UnitedHealthcare facility · percent of total billed charges · outpatientfrom % of charges · +8 other terms	45	$41	$40	$16	40%	—	$7 – $70
6	First Health facility · percent of total billed charges · inpatientfrom % of charges · +7 other terms	31	$56	$55	$5	8%	—	$36 – $56
7	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$43	$35	$9	27%	—	$10 – $46
8	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges	25	$12	$13	$4	32%	—	$6 – $25
9	MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +8 other terms	21	$65	$65	$8	12%	—	$36 – $95
10	Ambetter facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	14	$52	$53	$2	5%	—	$52 – $62

Page 1 of 4 · 34 payers

← Hospitals reporting CPT 0111A · Snapshot 20261113T090226Z-3ce6c0b8