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
$0
Average
$400
Median
$46
High
$19.5k
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79 hospital rates
iThe hospitals that file a Anthem 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 2 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · both | 3 | $3 | $3 | — | — | — | $3 – $3 |
| 4 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 8 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $2 | $2 | — | — | — | $2 – $2 |
| 6 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 7 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $218 | $218 | — | — | — | $218 – $218 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $137 | $137 | — | — | — | $137 – $137 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 11 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 12 | Carmel AmbSurg Carmel, IN fee schedule · both | 3 | $3 | $3 | — | — | — | $3 – $3 |
| 13 | Carmel AmbSurg Carmel, IN fee schedule · outpatient | 8 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 2 | $2 | $2 | — | — | — | $2 – $2 |
| 15 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 16 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 17 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 2 | $2 | $2 | — | — | — | $2 – $2 |
| 18 | Endo Surgery Center Carmel, IN fee schedule · both | 3 | $3 | $3 | — | — | — | $3 – $3 |
| 19 | Endo Surgery Center Carmel, IN fee schedule · outpatient | 8 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 21 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges | 3 | $25.9k | $26.0k | $165 | 1% | — | $25.9k – $26.3k |
| 22 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 23 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 24 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 25 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $209 | $209 | — | — | — | $209 – $209 |
← Payers reporting CPT 90393 · Snapshot 20261113T090226Z-3ce6c0b8