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
$14
Average
$56
Median
$32
High
$670
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
88 hospitals; the 90th percentile is 5.4× 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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158 hospital rates
iThe hospitals that file a Wellmark 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $18 | $18 | $2 | 12% | 1,667–1,676 | $15 – $21 |
| 2 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 3 | $39 | $32 | $13 | 41% | 1,310 | $13 – $43 |
| 3 | Avera Creighton Hospital Creighton, NE inpatient | 1 | $22 | $22 | — | — | 32 | $22 – $22 |
| 4 | Avera Creighton Hospital Creighton, NE percent of total billed charges · inpatientfrom % of charges | 1 | $45 | $45 | — | — | 32 | $45 – $45 |
| 5 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $18 | $17 | $2 | 10% | 18 | $15 – $18 |
| 6 | Bowdle Healthcare Center Bowdle, SD outpatient | 1 | $64 | $64 | — | — | 12 | $64 – $64 |
| 7 | Bowdle Healthcare Center Bowdle, SD percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $64 | — | — | 12 | $64 – $64 |
| 8 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $36 | $36 | — | — | 6–60 | $36 – $36 |
| 9 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $23 | $31 | $24 | 77% | 4–40 | $7 – $72 |
| 10 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 2 | $25 | $35 | $28 | 80% | 4–40 | $8 – $82 |
| 11 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 3 | $18 | $16 | $2 | 14% | 2–20 | $13 – $18 |
| 12 | Avera Gregory Hospital Gregory, SD outpatient | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 13 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | 1–10 | $22 – $22 |
| 14 | Avera Missouri River Health Center Gettysburg, SD outpatient | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 15 | Avera Missouri River Health Center Gettysburg, SD percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | 1–10 | $40 – $40 |
| 16 | HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA other · both | 2 | $28 | $28 | — | — | 1–10 | $28 – $28 |
| 17 | HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA other · outpatient | 2 | $12 | $12 | — | — | 1–10 | $12 – $12 |
| 18 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 1 | $16 | $16 | — | — | 1–10 | $16 – $16 |
| 19 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 2 | $15 | $15 | $0 | 0% | 1–10 | $15 – $15 |
| 20 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $33 | $33 | — | — | 1–10 | $33 – $33 |
| 21 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | 1–10 | $37 – $37 |
| 22 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $175 | $175 | — | — | — | $175 – $175 |
| 23 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $166 | $166 | — | — | — | $166 – $166 |
| 24 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $18 | $17 | $3 | 15% | — | $14 – $21 |
| 25 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
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