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
$0
Average
$577
Median
$22
High
$16.8k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
156 hospitals; the 90th percentile is 9.2× 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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194 hospital rates
iThe hospitals that file a Tricare 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 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 1 | $14 | $14 | — | — | 82–91 | $14 – $14 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $13 | $13 | — | — | 31 | $13 – $13 |
| 3 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 1 | $33 | $33 | $0 | 1% | 2–20 | $33 – $34 |
| 4 | MVHS, Inc. Utica, NY fee schedule · outpatient | 1 | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 5 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | — | — | 1–10 | $19 – $19 |
| 6 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 1 | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 7 | Mount Carmel East Reynoldsburg, OH professional · fee schedule · both | 1 | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 8 | Mount Carmel St Ann's Lewis Center, OH professional · fee schedule · both | 1 | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 9 | St Peters Hospital Albany, NY professional · fee schedule · outpatient | 1 | $11 | $11 | — | — | 1–10 | $11 – $11 |
| 10 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $13 | $13 | $1 | 8% | — | $12 – $14 |
| 11 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 12 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 13 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 14 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 15 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 16 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 17 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $25.1k | $25.1k | $24.9k | 99% | — | $126 – $50k |
| 18 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 19 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 20 | Ascension Via Christi Hospital Manhattan, Inc. Manhattan, KS fee schedule · both | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 21 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $57 | $69 | $21 | 30% | — | $57 – $106 |
| 22 | Aspirus Divine Savior Hospital Portage, WI fee schedule · both | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 23 | Aspirus Ironwood Hospital Ironwood, MI fee schedule · both | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 24 | Aspirus Keweenaw Hospital Laurium, MI fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 25 | Aspirus Langlade Hospital Antigo, WI fee schedule · both | 1 | $14 | $14 | — | — | — | $14 – $14 |
← Payers reporting CPT 90472 · Snapshot 20261111T120946Z-9134e7f7