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
PR Vaccine Administration Immunization Each Additional Vaccine
Low
$1
Average
$23
Median
$14
High
$269
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
138 hospitals; the 90th percentile is 10.2× 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.
Filter by billing methodology
Filter by billing class
161 hospital rates
iThe hospitals that file a Medicaid 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 | Lowell General Hospital Lowell, MA other · both | 1 | $81 | $81 | — | — | 226 | $81 – $81 |
| 2 | Tufts Medical Center BOSTON, MA other · both | 1 | $74 | $74 | — | — | 34 | $74 – $74 |
| 3 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $52 | $52 | $29 | 56% | 24 | $23 – $81 |
| 4 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $12 | $12 | — | — | 1–10 | $12 – $12 |
| 5 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $49 | $49 | $26 | 53% | 1–10 | $23 – $74 |
| 6 | ACADIAN MEDICAL CENTER EUNICE, LA percent of total billed charges · bothfrom % of charges | 6 | $81 | $81 | $55 | 68% | — | $26 – $136 |
| 7 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 8 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 9 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 10 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 11 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 12 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 13 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 14 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 15 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $27 | $27 | $1 | 5% | — | $25 – $28 |
| 16 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $27 | $27 | $1 | 5% | — | $25 – $28 |
| 17 | Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient | 2 | $46 | $46 | — | — | — | $46 – $46 |
| 18 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 19 | Brookings Health System Brookings, SD fee schedule · outpatient | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 20 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 2 | $22 | $22 | $11 | 51% | — | $11 – $34 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 22 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 23 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 24 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 25 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
← Payers reporting CPT 90472 · Snapshot 20261111T120946Z-9134e7f7