CPT 0134A

COVID-19 bivalent vaccine additional dose

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

(Ia) HC Admin Moderna Covid-19 Vaccine Bivalent Bo

Blue Cross Blue Shield pricing summary

Low

$17

Average

$117

Median

$91

High

$2.3k

Blue Cross Blue Shield rate distribution

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231 hospital rates

#		Plans
1	ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient	4	$34	$44	$16	37%	—	$29 – $64
2	ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient	2	$69	$69	$2	3%	—	$67 – $70
3	ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient	3	$67	$61	$11	18%	—	$45 – $70
4	ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient	1	$32	$32	—	—	—	$32 – $32
5	ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient	2	$69	$69	$2	3%	—	$67 – $70
6	ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient	2	$69	$69	$2	3%	—	$67 – $70
7	ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · inpatient	2	$69	$69	$2	3%	—	$67 – $70
8	ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient	3	$67	$58	$15	25%	—	$38 – $70
9	Adventhealth Central Texas Killeen, TX fee schedule · outpatient	2	$166	$166	$12	7%	—	$154 – $177
10	Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient	2	$166	$166	$12	7%	—	$154 – $177
11	Ascension Cedar Park Park, TX fee schedule · outpatient	5	$136	$131	$33	25%	—	$68 – $166
12	Ascension Providence Waco, TX fee schedule · outpatient	2	$94	$94	$5	5%	—	$90 – $99
13	Ascension Providence Waco, TX other · outpatient	2	$75	$75	$8	11%	—	$66 – $83
14	Ascension Seton Austin, TX fee schedule · outpatient	5	$136	$131	$33	25%	—	$68 – $166
15	Ascension Seton Austin, TX fee schedule · outpatient	5	$136	$131	$33	25%	—	$68 – $166
16	Ascension Seton Austin, TX fee schedule · outpatient	5	$136	$131	$33	25%	—	$68 – $166
17	Ascension Seton Luling, TX fee schedule · outpatient	5	$136	$131	$33	25%	—	$68 – $166
18	Ascension Seton Burnet, TX fee schedule · outpatient	5	$136	$131	$33	25%	—	$68 – $166
19	Ascension Seton Smithville, TX fee schedule · outpatient	5	$136	$131	$33	25%	—	$68 – $166
20	Ascension Seton Bastrop, TX fee schedule · outpatient	5	$136	$131	$33	25%	—	$68 – $166
21	Ascension Seton Austin, TX fee schedule · outpatient	5	$136	$131	$33	25%	—	$68 – $166
22	Austin Center for Outpatient Surgery LP, DBA Northwest Hills Surgical Hospital Austin, TX fee schedule · outpatient	5	$136	$131	$33	25%	—	$68 – $166
23	Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges	2	$50	$50	$19	38%	—	$31 – $70
24	Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges	2	$50	$50	$20	39%	—	$30 – $70
25	Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges	2	$50	$50	$20	39%	—	$30 – $70

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