CPT 90476
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
Adenovirus vaccine type 4
Low
$2
Average
$604
Median
$54
High
$13.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
45 hospitals; the 90th percentile is 5.9× 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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47 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 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 2 | $54 | $54 | — | — | — | $54 – $54 |
| 2 | BRONXCARE HEALTH SYSTEM Bronx, NY other · outpatient | 2 | $52 | $51 | $3 | 5% | — | $46 – $52 |
| 3 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 4 | BRONXCARE HEALTH SYSTEM Bronx, NY other · outpatient | 2 | $52 | $51 | $3 | 5% | — | $46 – $52 |
| 5 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 6 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 7 | Carmel AmbSurg Carmel, IN fee schedule · outpatient | 2 | $54 | $54 | — | — | — | $54 – $54 |
| 8 | Chambers Health Anahuac, TX percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 9 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 10 | Deaconess Health System Henderson Hospital Henderson, KY facility · case rate · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 11 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 12 | Endo Surgery Center Carmel, IN fee schedule · outpatient | 2 | $54 | $54 | — | — | — | $54 – $54 |
| 13 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $13.9k | $13.9k | — | — | — | $13.9k – $13.9k |
| 14 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 15 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 16 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 17 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 18 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · case rate · outpatient | 2 | $21 | $21 | $2 | 9% | — | $19 – $23 |
| 19 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 20 | Memorial Herman Surgical Hospital First Colony Sugar Land, TX fee schedule · outpatient | 4 | $4.6k | $5.3k | $1.9k | 35% | — | $3.6k – $8.4k |
| 21 | Memorial Herman Surgical Hospital Kingwood Kingwood, TX fee schedule · outpatient | 4 | $4.6k | $5.3k | $1.9k | 35% | — | $3.6k – $8.4k |
| 22 | Memorial Hospital of Laramie County Cheyenne, WY percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 23 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · fee schedule · outpatient | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 24 | Naab Road Surgery Center Indianapolis, IN fee schedule · outpatient | 2 | $54 | $54 | — | — | — | $54 – $54 |
| 25 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · case rate · outpatient | 1 | $448 | $448 | — | — | — | $448 – $448 |
← Payers reporting CPT 90476 · Snapshot 20261113T090226Z-3ce6c0b8