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
$39
Median
$14
High
$763
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
77 hospitals; the 90th percentile is 8.7× 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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125 hospital rates
iThe hospitals that file a Highmark 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 Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 2 | $13 | $16 | $5 | 29% | 13 | $13 – $23 |
| 2 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $24 | $24 | — | — | 4–40 | $24 – $24 |
| 3 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 6 | $12 | $10 | $2 | 18% | 3–30 | $8 – $12 |
| 4 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | 2–20 | $25 – $25 |
| 5 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 3 | $12 | $12 | $1 | 9% | 1–10 | $8 – $12 |
| 6 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 2 | $12 | $11 | $1 | 13% | 1–10 | $8 – $12 |
| 7 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 3 | $11 | $13 | $4 | 34% | 1–10 | $10 – $23 |
| 8 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $13 | $14 | $4 | 27% | 1–10 | $12 – $23 |
| 9 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $11 | $13 | $2 | 13% | 1–10 | $11 – $15 |
| 10 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | 1–10 | $30 – $30 |
| 11 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | 1–10 | $30 – $30 |
| 12 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 10 | $13 | $16 | $6 | 36% | — | $11 – $25 |
| 13 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $14 | $14 | $0 | 2% | — | $13 – $14 |
| 14 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 11 | $14 | $14 | $0 | 2% | — | $13 – $14 |
| 15 | Alice Hyde Medical Center Malone, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 16 | Boone Memorial Hospital Madison, WV other · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 17 | Broaddus Hospital Association Inc Philippi, WV facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 18 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 3 | $10 | $11 | $3 | 23% | — | $9 – $15 |
| 19 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $14 | $14 | $0 | 2% | — | $13 – $14 |
| 20 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 11 | $14 | $14 | $0 | 2% | — | $13 – $14 |
| 21 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient | 4 | $16 | $16 | $2 | 10% | — | $14 – $17 |
| 22 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · fee schedule · outpatient | 2 | $8 | $8 | — | — | — | $8 – $8 |
| 23 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 24 | CentraState Medical Center Freehold Township, NJ fee schedule · outpatient | 1 | $313 | $313 | — | — | — | $313 – $313 |
| 25 | CentraState Medical Center Freehold Township, NJ other · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
← Payers reporting CPT 90474 · Snapshot 20261111T120946Z-9134e7f7