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

WellCare pricing summary

Low

$19

Average

$54

Median

$54

High

$64

WellCare rate distribution

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33 hospital rates

#		Plans
1	Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
2	BRONXCARE HEALTH SYSTEM Bronx, NY other · outpatient	1	$46	$46	—	—	—	$46 – $46
3	BRONXCARE HEALTH SYSTEM Bronx, NY other · outpatient	1	$46	$46	—	—	—	$46 – $46
4	Carmel AmbSurg Carmel, IN fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
5	Deaconess Health System Henderson Hospital Henderson, KY facility · case rate · outpatient	4	$45	$57	$18	33%	—	$45 – $93
6	Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient	2	$45	$45	—	—	—	$45 – $45
7	Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient	1	$45	$45	—	—	—	$45 – $45
8	Endo Surgery Center Carmel, IN fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
9	INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient	1	$19	$19	—	—	—	$19 – $19
10	Naab Road Surgery Center Indianapolis, IN fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
11	St. Charles Madras Madras, OR percent of total billed charges · bothfrom % of charges	1	$30	$30	—	—	—	$30 – $30
12	St. Joseph Hospital & Health Center, Inc. Kokomo, IN fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
13	St. Mary's Health, Inc. IN 47750; 10388 Warrick Wellness Trail Newburgh, IN fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
14	St. Mary's Warrick Hospital, Inc. Boonville, IN fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
15	St. Vincent Anderson Regional Hospital, Inc. Anderson, IN fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
16	St. Vincent Carmel Hospital, Inc. Carmel, IN fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
17	St. Vincent Clay Hospital, Inc. Brazil, IN fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
18	St. Vincent Fishers Hospital, Inc. Fishers, IN fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
19	St. Vincent Jennings Hospital, Inc. Vernon, IN fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
20	St. Vincent Madison County Health System, Inc. Elwood, IN fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
21	St. Vincent Randolph Hospital, Inc. Winchester, IN fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
22	St. Vincent Salem Hospital, Inc. Salem, IN fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
23	St. Vincent Seton Specialty Hospital, Inc. Indianapolis, IN fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
24	St. Vincent Williamsport Hospital, Inc. Williamsport, IN fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
25	University Medical Center, Inc. Louisville, KY facility · fee schedule · outpatient	1	$64	$64	—	—	—	$64 – $64

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