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
$57
Median
$29
High
$7.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
549 hospitals; the 90th percentile is 6.1× 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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781 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 5 | $15 | $15 | $4 | 24% | 213–294 | $12 – $24 |
| 2 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 4 | $15 | $15 | $3 | 22% | 133–169 | $12 – $23 |
| 3 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | — | — | 84 | $19 – $19 |
| 4 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 7 | $38 | $38 | $1 | 3% | 59–68 | $37 – $41 |
| 5 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 6 | $29 | $29 | $1 | 5% | 32–41 | $27 – $31 |
| 6 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $43 | $38 | $12 | 31% | 25 | $14 – $44 |
| 7 | Mayo Clinic Health System Sparta, WI professional · percent of total billed charges · outpatientfrom % of charges | 5 | $43 | $43 | $2 | 5% | 22–31 | $39 – $45 |
| 8 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | 21 | $20 – $20 |
| 9 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $15 | $13 | $2 | 13% | 19–82 | $11 – $15 |
| 10 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $43 | $38 | $11 | 28% | 17 | $17 – $44 |
| 11 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 3 | $23 | $23 | $10 | 46% | 16 | $12 – $33 |
| 12 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | 14 | $20 – $20 |
| 13 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 4 | $13 | $14 | $2 | 17% | 13 | $12 – $18 |
| 14 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $10 | $10 | — | — | 5–50 | $10 – $10 |
| 15 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | 4–40 | $30 – $30 |
| 16 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 5 | $13 | $13 | $4 | 31% | 3–30 | $10 – $24 |
| 17 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 3 | $13 | $15 | $4 | 28% | 3–30 | $13 – $24 |
| 18 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 3 | $10 | $12 | $3 | 22% | 2–20 | $10 – $15 |
| 19 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | 2–20 | $68 – $68 |
| 20 | Harrison Community Hospital, Inc. Cadiz, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | — | — | 2–20 | $18 – $18 |
| 21 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 2 | $18 | $18 | $0 | 0% | 2–20 | $18 – $18 |
| 22 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | 2–20 | $30 – $30 |
| 23 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · inpatient | 2 | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 24 | Eisenhower Medical Center Rancho Mirage, CA percent of total billed charges · inpatientfrom % of charges | 1 | $18 | $18 | — | — | 1–10 | $18 – $18 |
| 25 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 10 | $29 | $27 | $4 | 16% | 1–10 | $18 – $31 |
← Payers reporting CPT 90474 · Snapshot 20261111T120946Z-9134e7f7