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
$9
Average
$118
Median
$11
High
$982
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 29.5× 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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27 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $160 | $206 | $76 | 37% | — | $133 – $299 |
| 2 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 3 | $9 | $9 | — | — | — | $9 – $9 |
| 3 | Beth Israel Deaconess Hospital - Needham Needham, MA fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 4 | Beth Israel Deaconess Hospital - Plymouth Plymouth, MA fee schedule · outpatient | 2 | $9 | $9 | — | — | — | $9 – $9 |
| 5 | Beth Israel Deaconess Hospital-Milton Inc Milton, MA fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 6 | Beth Israel Deaconess Medical Center Boston, MA fee schedule · outpatient | 2 | $9 | $9 | — | — | — | $9 – $9 |
| 7 | Billings Clinic Billings, MT fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 8 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · outpatient | 3 | $246 | $208 | $53 | 26% | — | $133 – $246 |
| 9 | Conway Hospital, Inc. Conway, SC facility · percent of total billed charges · inpatientfrom % of charges | 4 | $12 | $14 | $6 | 40% | — | $8 – $22 |
| 10 | Conway Hospital, Inc. Conway, SC facility · percent of total billed charges · outpatientfrom % of charges | 3 | $9 | $11 | $3 | 29% | — | $8 – $16 |
| 11 | East Alabama Medical Center OPELIKA, AL facility · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 12 | East Alabama Medical Center OPELIKA, AL professional · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 13 | GLENS FALLS HOSPITAL INC Falls, NY facility · case rate · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 14 | HENRY HEYWOOD MEMORIAL HOSPITAL Gardner, MA fee schedule · outpatient | 3 | $9 | $9 | — | — | — | $9 – $9 |
| 15 | Lahey Hospital & Medical Center, Burlington Peabody, MA fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 16 | Lakewood Ranch Sarasota, FL per diem · both | 5 | $1.0k | $982 | $188 | 19% | — | $735 – $1.2k |
| 17 | Manatee Memorial Hospital Wimauma, FL per diem · both | 5 | $673 | $602 | $88 | 15% | — | $474 – $673 |
| 18 | Montefiore Medical Center Bronx, NY fee schedule · both | 7 | $71 | $66 | $20 | 30% | — | $20 – $83 |
| 19 | Morton Hospital and Medical Center, Inc., Lifespan of Massachusetts - Taunton Inc Taunton, MA facility · fee schedule · outpatient | 3 | $11 | $11 | $0 | 2% | — | $11 – $11 |
| 20 | Saint Anne's Hospital, Lifespan of Massachusetts - Fall River Inc Fall River, MA facility · fee schedule · outpatient | 3 | $11 | $11 | — | — | — | $11 – $11 |
| 21 | Saratoga Hospital Saratoga Springs, NY facility · case rate · outpatient | 3 | $251 | $212 | $54 | 26% | — | $136 – $251 |
| 22 | South Shore Hospital South Weymouth, MA fee schedule · outpatient | 2 | $9 | $9 | — | — | — | $9 – $9 |
| 23 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX fee schedule · both | 4 | $17 | $17 | — | — | — | $17 – $17 |
| 24 | VHS Acquisition Subsidiary Number 7 Inc Worcester, MA fee schedule · outpatient | 5 | $9 | $9 | $0 | 4% | — | $8 – $9 |
| 25 | VHS Acquisition Subsidiary Number 9 Inc Framingham, MA fee schedule · outpatient | 5 | $9 | $9 | $0 | 4% | — | $8 – $9 |
← Payers reporting CPT 90393 · Snapshot 20261113T090226Z-3ce6c0b8