CPT 90476

Adenovirus type 4 oral vaccine

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Adenovirus vaccine type 4

Humana pricing summary

Low

$11

Average

$445

Median

$120

High

$25.0k

Humana rate distribution

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144 hospital rates

#		Plans
1	Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient	3	$54	$54	—	—	—	$54 – $54
2	BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · outpatientfrom % of charges	1	$90	$90	—	—	—	$90 – $90
3	BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · outpatientfrom % of charges	1	$90	$90	—	—	—	$90 – $90
4	Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient	1	$19	$19	—	—	—	$19 – $19
5	Boulder Community Health Lafayette, CO professional · fee schedule · both	1	$60	$60	—	—	—	$60 – $60
6	CHRISTUS Health - Pine Street Texarkana, TX fee schedule · outpatient	1	$125	$125	—	—	—	$125 – $125
7	CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient	1	$139	$139	—	—	—	$139 – $139
8	CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient	1	$139	$139	—	—	—	$139 – $139
9	Carmel AmbSurg Carmel, IN fee schedule · outpatient	3	$54	$54	—	—	—	$54 – $54
10	Centennial Hills Las Vegas, NV fee schedule · both	2	$60	$60	—	—	—	$60 – $60
11	Central Georgia Rehabilitation LLC Macon, GA fee schedule · both	2	$74	$74	—	—	—	$74 – $74
12	Children's Hospital San Antonio, TX fee schedule · outpatient	1	$163	$163	—	—	—	$163 – $163
13	Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient	1	$139	$139	—	—	—	$139 – $139
14	Christus Health Southeast Texas Port Arthur, TX fee schedule · outpatient	1	$139	$139	—	—	—	$139 – $139
15	Columbia St. Mary's Hospital Milwaukee, Inc. Milwaukee, WI fee schedule · outpatient	3	$76	$76	—	—	—	$76 – $76
16	Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI fee schedule · outpatient	3	$76	$76	—	—	—	$76 – $76
17	Deaconess Health System Henderson Hospital Henderson, KY facility · case rate · outpatient	1	$45	$45	—	—	—	$45 – $45
18	Deaconess Health System Henderson Hospital Henderson, KY facility · fee schedule · outpatient	1	$42	$42	—	—	—	$42 – $42
19	Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient	2	$45	$45	—	—	—	$45 – $45
20	Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient	1	$45	$45	—	—	—	$45 – $45
21	Deaconess Hospital, Inc Newburgh, IN facility · fee schedule · outpatient	1	$45	$45	—	—	—	$45 – $45
22	Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient	1	$36	$36	—	—	—	$36 – $36
23	East Alabama Medical Center OPELIKA, AL facility · fee schedule · outpatient	1	$97	$97	—	—	—	$97 – $97
24	East Alabama Medical Center OPELIKA, AL professional · fee schedule · outpatient	1	$46	$46	—	—	—	$46 – $46
25	Endo Surgery Center Carmel, IN fee schedule · outpatient	3	$54	$54	—	—	—	$54 – $54