CPT 90477
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 7
Low
$13
Average
$174
Median
$39
High
$982
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
36 hospitals; the 90th percentile is 38.9× 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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37 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $59 | $77 | $28 | 37% | — | $50 – $111 |
| 2 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 3 | $38 | $38 | — | — | — | $38 – $38 |
| 3 | Beth Israel Deaconess Hospital - Needham Needham, MA fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 4 | Beth Israel Deaconess Hospital - Plymouth Plymouth, MA fee schedule · outpatient | 2 | $38 | $38 | — | — | — | $38 – $38 |
| 5 | Beth Israel Deaconess Hospital-Milton Inc Milton, MA fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 6 | Beth Israel Deaconess Medical Center Boston, MA fee schedule · outpatient | 2 | $38 | $38 | — | — | — | $38 – $38 |
| 7 | Billings Clinic Billings, MT fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 8 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · outpatient | 3 | $92 | $78 | $20 | 26% | — | $50 – $92 |
| 9 | Duncan Regional Hospital Duncan, OK case rate · outpatient | 5 | $71 | $71 | — | — | — | $71 – $71 |
| 10 | East Alabama Medical Center OPELIKA, AL facility · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 11 | East Alabama Medical Center OPELIKA, AL professional · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 12 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 3 | $18 | $16 | $3 | 22% | — | $11 – $19 |
| 13 | GLENS FALLS HOSPITAL INC Falls, NY facility · case rate · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 14 | HENRY HEYWOOD MEMORIAL HOSPITAL Gardner, MA fee schedule · outpatient | 3 | $38 | $38 | — | — | — | $38 – $38 |
| 15 | Jane Phillips Memorial Medical Center Bartlesville, OK fee schedule · both | 5 | $720 | $720 | — | — | — | $720 – $720 |
| 16 | Jane Phillips Nowata Hospital, Inc. Nowata, OK fee schedule · both | 5 | $720 | $720 | — | — | — | $720 – $720 |
| 17 | Jefferson County Hospital OK Waurika, OK case rate · outpatient | 5 | $71 | $71 | — | — | — | $71 – $71 |
| 18 | Lahey Hospital & Medical Center, Burlington Peabody, MA fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 19 | Lakewood Ranch Sarasota, FL per diem · both | 5 | $1.0k | $982 | $188 | 19% | — | $735 – $1.2k |
| 20 | Manatee Memorial Hospital Wimauma, FL per diem · both | 5 | $673 | $602 | $88 | 15% | — | $474 – $673 |
| 21 | McCamey County Hospital District McCamey, TX percent of total billed charges · outpatientfrom % of charges | 3 | $17 | $16 | $3 | 17% | — | $12 – $18 |
| 22 | Montefiore Medical Center Bronx, NY fee schedule · both | 7 | $66 | $61 | $19 | 31% | — | $17 – $78 |
| 23 | Morton Hospital and Medical Center, Inc., Lifespan of Massachusetts - Taunton Inc Taunton, MA facility · fee schedule · outpatient | 3 | $43 | $44 | $1 | 2% | — | $43 – $45 |
| 24 | Oroville Hospital Oroville, CA fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 25 | Owasso Medical Facility, Inc. Owasso, OK fee schedule · both | 5 | $559 | $559 | — | — | — | $559 – $559 |
← Payers reporting CPT 90477 · Snapshot 20261113T090226Z-3ce6c0b8