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
HC Imm Admn Sarscov2 Vaccine Sngl Dose
Low
$30
Average
$85
Median
$55
High
$171
Each hospital's average Bcbs Tx rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 4.2× 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.
Filter by billing methodology
Filter by billing class
24 hospital rates
iThe hospitals that file a Bcbs Tx 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 | CHRISTUS Health - Pine Street Texarkana, TX fee schedule · outpatient | 6 | $189 | $171 | $60 | 35% | — | $41 – $223 |
| 2 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 3 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 4 | Chambers Health Anahuac, TX percent of total billed charges · outpatientfrom % of charges | 2 | $33 | $33 | $4 | 12% | — | $29 – $37 |
| 5 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 6 | Christus Health Southeast Texas Port Arthur, TX fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 7 | Cogdell Memorial Hospital dba Cogdell Memorial Hospital Snyder, TX fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 8 | Cogdell Memorial Hospital dba Cogdell Memorial Hospital Snyder, TX percent of total billed charges · outpatientfrom % of charges | 2 | $33 | $33 | — | — | — | $33 – $33 |
| 9 | Mother Frances Hospital - Jacksonville Jacksonville, TX fee schedule · outpatient | 5 | $157 | $159 | $19 | 12% | — | $128 – $184 |
| 10 | Mother Frances Hospital - Winnsboro Winnsboro, TX fee schedule · outpatient | 5 | $157 | $159 | $19 | 12% | — | $128 – $184 |
| 11 | Ochiltree General Hospital Perryton, TX percent of total billed charges · outpatientfrom % of charges | 2 | $94 | $94 | — | — | — | $94 – $94 |
| 12 | Santa Rosa Hospital - Westover Hills San Antonio, TX fee schedule · outpatient | 6 | $120 | $109 | $34 | 31% | — | $39 – $142 |
| 13 | Santa Rosa Hospital - Westover Hills San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 14 | Southeast Texas - Jasper Memorial Jasper, TX fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 15 | Southeast Texas Orthopedic Specialty Center Port Arthur, TX fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 16 | Spohn Hospital Alice Alice, TX fee schedule · outpatient | 6 | $125 | $111 | $35 | 31% | — | $42 – $144 |
| 17 | Spohn Hospital Beeville Beeville, TX fee schedule · outpatient | 6 | $117 | $107 | $31 | 29% | — | $42 – $135 |
| 18 | Spohn Hospital Corpus Christi - Shoreline Corpus Christi, TX fee schedule · outpatient | 6 | $57 | $55 | $8 | 15% | — | $40 – $66 |
| 19 | Spohn Hospital Corpus Christi - South Corpus Christi, TX fee schedule · outpatient | 6 | $57 | $55 | $8 | 15% | — | $40 – $66 |
| 20 | Spohn Hospital Corpus Christi - South Corpus Christi, TX fee schedule · outpatient | 6 | $57 | $55 | $8 | 15% | — | $40 – $66 |
| 21 | Spohn Hospital Kleberg Kingsville, TX fee schedule · outpatient | 6 | $125 | $111 | $34 | 30% | — | $42 – $142 |
| 22 | St. Michael Health System - Texarkana Texarkana, TX fee schedule · outpatient | 6 | $189 | $171 | $60 | 35% | — | $41 – $223 |
| 23 | St. Michael Hospital - Atlanta Atlanta, TX fee schedule · outpatient | 6 | $189 | $171 | $60 | 35% | — | $41 – $223 |
| 24 | St. Michael Rehabilitation Hospital Texarkana, TX fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
← Payers reporting CPT 90480 · Snapshot 20261111T120946Z-9134e7f7