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 Intranasal/Oral Route Each Additional Vaccine
Low
$0
Average
$62
Median
$23
High
$5.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
775 hospitals; the 90th percentile is 7.6× 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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1,292 hospital rates
iThe hospitals that file a Aetna 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 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 2 | $12 | $11 | $2 | 15% | 54–63 | $9 – $12 |
| 2 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $23 | $23 | $6 | 27% | 34–52 | $16 – $31 |
| 3 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $48 | $48 | $3 | 6% | 30–39 | $45 – $50 |
| 4 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 2 | $12 | $11 | $1 | 12% | 26 | $9 – $12 |
| 5 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 5 | $12 | $12 | $6 | 49% | 24 | $5 – $23 |
| 6 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 2 | $12 | $11 | $1 | 12% | 24 | $9 – $12 |
| 7 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 5 | $11 | $10 | $3 | 31% | 18 | $3 – $12 |
| 8 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | 18 | $24 – $24 |
| 9 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 5 | $12 | $12 | $6 | 48% | 17–26 | $5 – $23 |
| 10 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 2 | $12 | $11 | $2 | 13% | 17 | $9 – $12 |
| 11 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | 14 | $26 – $26 |
| 12 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $26 | $26 | $15 | 56% | 13–31 | $11 – $41 |
| 13 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 2 | $23 | $23 | $8 | 36% | 13 | $15 – $32 |
| 14 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 2 | $12 | $11 | $2 | 15% | 12 | $9 – $12 |
| 15 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | $6 | 26% | 11 | $16 – $27 |
| 16 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | 2–20 | $22 – $22 |
| 17 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | $3 | 13% | 2–20 | $20 – $26 |
| 18 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $16 | $17 | $5 | 31% | 2–20 | $10 – $24 |
| 19 | Newton Wellesley Hospital Newton, MA percent of total billed charges · bothfrom % of charges | 1 | $15 | $15 | $2 | 13% | 2–20 | $13 – $17 |
| 20 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $37 | $37 | — | — | 2–20 | $37 – $37 |
| 21 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 4 | $18 | $18 | $1 | 6% | 2–20 | $16 – $18 |
| 22 | Wetzel County Hospital, Inc. New Martinsville, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $99 | — | — | 2–20 | $99 – $99 |
| 23 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | 2–20 | $21 – $21 |
| 24 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | 1–10 | $24 – $24 |
| 25 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | 1–10 | $16 – $16 |
← Payers reporting CPT 90474 · Snapshot 20261111T120946Z-9134e7f7