CPT 90393
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
Vaccina ig im
Low
$10
Average
$673
Median
$28
High
$13.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
44 hospitals; the 90th percentile is 80.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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45 hospital rates
iThe hospitals that file a Aetna 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 2 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $29 | $29 | $0 | 1% | — | $28 – $29 |
| 3 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 4 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 5 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 6 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 2 | $28 | $28 | — | — | — | $28 – $28 |
| 7 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 2 | $28 | $28 | — | — | — | $28 – $28 |
| 8 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 9 | Conway Hospital, Inc. Conway, SC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 10 | Conway Hospital, Inc. Conway, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $22 | $17 | $8 | 47% | — | $6 – $23 |
| 11 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 12 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 13 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 14 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $13.9k | $13.9k | — | — | — | $13.9k – $13.9k |
| 15 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 16 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 17 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 2 | $28 | $28 | — | — | — | $28 – $28 |
| 18 | Harlingen Medical Center Harlingen, TX case rate · outpatient | 1 | $500 | $500 | — | — | — | $500 – $500 |
| 19 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 20 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 21 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 22 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · case rate · outpatient | 2 | $72 | $72 | $7 | 9% | — | $65 – $78 |
| 23 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 24 | Memorial Herman Surgical Hospital First Colony Sugar Land, TX fee schedule · outpatient | 4 | $4.6k | $5.3k | $1.9k | 35% | — | $3.6k – $8.4k |
| 25 | Memorial Herman Surgical Hospital Kingwood Kingwood, TX fee schedule · outpatient | 4 | $4.6k | $5.3k | $1.9k | 35% | — | $3.6k – $8.4k |
← Payers reporting CPT 90393 · Snapshot 20261113T090226Z-3ce6c0b8