CPT 0173A
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 Bvl 3 Mcg/0.2 Ml 3rd Dose 6mo-4yrs
Low
$15
Average
$48
Median
$38
High
$141
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25 hospital rates
iThe hospitals that file a WellCare 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 2 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 3 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 4 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 5 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 6 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 7 | Mount Desert Island Hospital Bar Harbor, ME facility · percent of total billed charges · bothfrom % of charges | 1 | $15 | $15 | $5 | 33% | — | $10 – $19 |
| 8 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 2 | $50 | $38 | $16 | 42% | — | $15 – $50 |
| 9 | PRISMA HEALTH BLOUNT MEMORIAL HOSPITAL MARYVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 10 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 2 | $50 | $38 | $16 | 42% | — | $15 – $50 |
| 11 | PRISMA HEALTH GREER MEMORIAL HOSPITAL GREER, SC percent of total billed charges · bothfrom % of charges | 2 | $50 | $38 | $16 | 42% | — | $15 – $50 |
| 12 | PRISMA HEALTH HILLCREST HOSPITAL SIMPSONVILLE, SC percent of total billed charges · bothfrom % of charges | 2 | $50 | $38 | $16 | 42% | — | $15 – $50 |
| 13 | PRISMA HEALTH LAURENS COUNTY HOSPITAL CLINTON, SC percent of total billed charges · bothfrom % of charges | 2 | $50 | $38 | $16 | 42% | — | $15 – $50 |
| 14 | PRISMA HEALTH NORTH GREENVILLE LTACH HOSPITAL TRAVELERS REST, SC percent of total billed charges · bothfrom % of charges | 2 | $50 | $38 | $16 | 42% | — | $15 – $50 |
| 15 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC percent of total billed charges · bothfrom % of charges | 2 | $50 | $38 | $16 | 42% | — | $15 – $50 |
| 16 | PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 2 | $50 | $38 | $16 | 42% | — | $15 – $50 |
| 17 | Richland Memorial Hospital Inc Olney, IL percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 18 | St. Charles Madras Madras, OR percent of total billed charges · bothfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 19 | St. Charles Prineville Prineville, OR percent of total billed charges · bothfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 20 | University Hospital & Clinics, Inc. Lafayette, LA other · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 21 | Vanderbilt Bedford Hospital Shelbyville, TN percent of total billed charges · bothfrom % of charges | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 22 | Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN percent of total billed charges · bothfrom % of charges | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 23 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 2 | $88 | $88 | $53 | 60% | — | $35 – $141 |
| 24 | Vanderbilt Wilson County Hospital Lebanon, TN percent of total billed charges · bothfrom % of charges | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 25 | Yale New Haven Hospital Haven, CT fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
← Payers reporting CPT 0173A · Snapshot 20261113T090226Z-3ce6c0b8