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
$0
Average
$266
Median
$34
High
$19.5k
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99 hospital rates
iThe hospitals that file a Anthem 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 2 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 9 | $0 | $6 | $17 | 282% | — | $0 – $54 |
| 4 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · fee schedule · outpatient | 5 | $103 | $100 | $6 | 6% | — | $88 – $103 |
| 5 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $111 | $111 | — | — | — | $111 – $111 |
| 7 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 3 | $69 | $66 | $14 | 22% | — | $47 – $82 |
| 16 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 17 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 18 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 19 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 20 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 21 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 22 | Carmel AmbSurg Carmel, IN fee schedule · outpatient | 9 | $0 | $6 | $17 | 282% | — | $0 – $54 |
| 23 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 24 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 25 | Deaconess Health System Henderson Hospital Henderson, KY facility · case rate · outpatient | 2 | $45 | $45 | — | — | — | $45 – $45 |
← Payers reporting CPT 90476 · Snapshot 20261113T090226Z-3ce6c0b8