CPT 0121A
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
Imm Admn Sarscov2 Vaccine Bvl 30 Mcg/0.3 Ml Tris-Suc Single Dose
Low
$39
Average
$46
Median
$40
High
$106
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18 hospital rates
iThe hospitals that file a Wellmark 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 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $43 | $43 | — | — | — | $43 – $43 |
| 2 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $41 | $41 | — | — | — | $41 – $41 |
| 3 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $40 | $40 | — | — | — | $40 – $40 |
| 4 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 3 | $40 | $40 | — | — | — | $40 – $40 |
| 5 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 3 | $40 | $40 | — | — | — | $40 – $40 |
| 6 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 3 | $40 | $40 | — | — | — | $40 – $40 |
| 7 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 8 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 9 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both | 3 | $40 | $40 | — | — | — | $40 – $40 |
| 10 | St Luke's Methodist Hospital Marion, IA fee schedule · both | 3 | $40 | $40 | — | — | — | $40 – $40 |
| 11 | The Finley Hospital Dubuque, IA fee schedule · both | 3 | $40 | $40 | — | — | — | $40 – $40 |
| 12 | Trinity Medical Center Rock Island, IL case rate · outpatient | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 13 | Trinity Medical Center Rock Island, IL fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 14 | Trinity Medical Center Bettendorf, IA fee schedule · both | 3 | $40 | $40 | — | — | — | $40 – $40 |
| 15 | Trinity Regional Medical Center Fort Dodge, IA fee schedule · both | 3 | $40 | $40 | — | — | — | $40 – $40 |
| 16 | Unity Healthcare Muscatine, IA fee schedule · both | 3 | $40 | $40 | — | — | — | $40 – $40 |
| 17 | UnityPoint Health - Jones Regional Medical Center Anamosa, IA fee schedule · both | 3 | $40 | $40 | — | — | — | $40 – $40 |
| 18 | UnityPoint Health Marshalltown Marshalltown, IA fee schedule · both | 3 | $40 | $40 | — | — | — | $40 – $40 |
← Payers reporting CPT 0121A · Snapshot 20261113T090226Z-3ce6c0b8