CPT 90396
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
varicella-zoster immune globulin-maltose 125 unit/1.2 mL Soln 1.2 mL VIAL
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$5.8k
Median
$4.1k
High
$78.0k
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter below to change the chart. 404 hospitals; the 90th percentile is 28.2× 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.
Click a bar to filter the hospitals table to that price range.
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Kaiser Foundation Hospital - Vacaville VACAVILLE, CA | $298 | $298 | — | — | 1–10 | $298 – $298 |
| 2 | Kaiser Sunnyside Medical Center CLACKAMAS, OR | $4.8k | $4.8k | — | — | 1–10 | $4.8k – $4.8k |
| 3 | NYU Langone New York, NY | $12.8k | $13.4k | $6.7k | 50% | 1–10 | $284 – $28.4k |
| 4 | Fairview Health Services Edina, MN | $7.3k | $6.9k | $1.4k | 21% | — | $3.9k – $8.8k |
| 5 | Hca Florida West Hospital PENSACOLA, FL | $2.2k | $2.2k | $1.3k | 62% | — | $562 – $4.6k |
| 6 | Hoopeston Community Memorial Hospital Hoopeston, IL | $1.7k | $1.8k | $974 | 55% | — | $348 – $3.1k |
| 7 | Deaconess Hospital, Inc Newburgh, IN | $4.4k | $4.1k | $1.3k | 32% | — | $2.3k – $5.7k |
| 8 | Hca Healthone Northeast Er THORNTON, CO | $5.6k | $4.6k | $2.1k | 47% | — | $1.3k – $7.9k |
| 9 | SwedishAmerican Hospital Rockford, IL | $6.7k | $7.6k | $3.3k | 44% | — | $2.3k – $15.5k |
| 10 | Children's Healthcare of Atlanta Atlanta, GA | $7.5k | $7.7k | $1.7k | 23% | — | $4.5k – $10.8k |
Ask Claude or any MCP client for CPT 90396 pricing at a specific hospital — see how to connect.