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

Phcs pricing summary

Low

$34

Average

$69

Median

$64

High

$168

Phcs rate distribution

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27 hospital rates

#		Plans
1	ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · inpatient	1	$55	$55	—	—	—	$55 – $55
2	ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient	1	$58	$58	—	—	—	$58 – $58
3	ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient	1	$73	$73	—	—	—	$73 – $73
4	ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient	1	$73	$73	—	—	—	$73 – $73
5	ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · inpatient	1	$55	$55	—	—	—	$55 – $55
6	ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient	1	$58	$58	—	—	—	$58 – $58
7	ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient	1	$73	$73	—	—	—	$73 – $73
8	ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient	1	$73	$73	—	—	—	$73 – $73
9	ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · inpatient	1	$55	$55	—	—	—	$55 – $55
10	ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient	1	$58	$58	—	—	—	$58 – $58
11	ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient	1	$55	$55	—	—	—	$55 – $55
12	ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient	1	$58	$58	—	—	—	$58 – $58
13	ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient	1	$55	$55	—	—	—	$55 – $55
14	ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient	1	$58	$58	—	—	—	$58 – $58
15	ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient	1	$73	$73	—	—	—	$73 – $73
16	ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient	1	$73	$73	—	—	—	$73 – $73
17	ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · inpatient	1	$55	$55	—	—	—	$55 – $55
18	ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient	1	$58	$58	—	—	—	$58 – $58
19	ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · inpatient	1	$73	$73	—	—	—	$73 – $73
20	ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient	1	$73	$73	—	—	—	$73 – $73
21	Boulder Community Health Lafayette, CO facility · percent of total billed charges · inpatientfrom % of charges	1	$167	$167	—	—	—	$167 – $167
22	Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges	1	$169	$169	—	—	—	$169 – $169
23	Deaconess Health System Union County Hospital Morganfield, KY professional · percent of total billed charges · bothfrom % of charges	1	$34	$34	—	—	—	$34 – $34
24	Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges	1	$34	$34	—	—	—	$34 – $34
25	Southcoast Hospitals Group, Inc. Bedford, MA percent of total billed charges · outpatientfrom % of charges	1	$79	$79	—	—	—	$79 – $79

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