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
$85
Median
$22
High
$28.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
865 hospitals; the 90th percentile is 7.7× 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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1,405 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | 3 | $12 | $16 | $5 | 32% | 68 | $12 – $23 |
| 2 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $12 | $16 | $5 | 31% | 47 | $12 – $22 |
| 3 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $11 | $14 | $4 | 29% | 35 | $11 – $20 |
| 4 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | $7 | 26% | 32 | $19 – $32 |
| 5 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | 21 | $30 – $30 |
| 6 | Tufts Medical Center BOSTON, MA other · both | 1 | $49 | $49 | — | — | 20 | $49 – $49 |
| 7 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 3 | $12 | $15 | $6 | 42% | 15–24 | $9 – $23 |
| 8 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | 15 | $23 – $23 |
| 9 | Spencer Municipal Hospital Spencer, IA percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | 14 | $11 – $11 |
| 10 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | 13 | $24 – $24 |
| 11 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $38 | $38 | — | — | 13 | $38 – $38 |
| 12 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $39 | $43 | $8 | 18% | 13–31 | $36 – $53 |
| 13 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 4 | $23 | $20 | $6 | 29% | 8–80 | $12 – $26 |
| 14 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | $7 | 26% | 2–20 | $19 – $32 |
| 15 | 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 |
| 16 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | $3 | 13% | 2–20 | $21 – $28 |
| 17 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $41 | $36 | $11 | 30% | 2–20 | $14 – $41 |
| 18 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $41 | $36 | $11 | 30% | 2–20 | $15 – $41 |
| 19 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 4 | $10 | $13 | $6 | 41% | 2–20 | $10 – $23 |
| 20 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 3 | $11 | $15 | $6 | 42% | 2–20 | $10 – $24 |
| 21 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 4 | $13 | $13 | $0 | 2% | 2–20 | $12 – $13 |
| 22 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $41 | $41 | — | — | 2–20 | $41 – $41 |
| 23 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | 2–20 | $24 – $24 |
| 24 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | 2–20 | $21 – $21 |
| 25 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | 1–10 | $24 – $24 |
← Payers reporting CPT 90474 · Snapshot 20261112T124536Z-e251e855