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
$79
Median
$64
High
$231
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
48 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.
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79 hospital rates
iThe hospitals that file a Carefirst 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 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 3 | $36 | $37 | $8 | 21% | 2–20 | $29 – $45 |
| 2 | Mishawaka Medical Center Mishawaka, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $56 | $56 | — | — | 2–20 | $56 – $56 |
| 3 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 2 | $29 | $35 | $8 | 22% | 1–10 | $29 – $45 |
| 4 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $36 | $37 | $8 | 21% | 1–10 | $29 – $45 |
| 5 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | — | — | 1–10 | $89 – $89 |
| 6 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | — | — | 1–10 | $89 – $89 |
| 7 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 8 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 9 | Children's National Hospital Washington, DC facility · fee schedule · outpatient | 2 | $144 | $144 | — | — | — | $144 – $144 |
| 10 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 11 | Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 12 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 13 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 3 | $42 | $30 | $17 | 59% | — | $5 – $42 |
| 14 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 3 | $42 | $30 | $17 | 59% | — | $5 – $42 |
| 15 | Diley Ridge Medical Center Canal Winchester, OH facility · other · both | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 16 | Inova Alexandria Hospital Alexandria, VA fee schedule · both | 2 | $88 | $88 | $2 | 3% | — | $86 – $91 |
| 17 | Inova Fair Oaks Hospital Fairfax, VA fee schedule · both | 2 | $88 | $88 | $2 | 3% | — | $86 – $91 |
| 18 | Inova Fairfax Hospital Falls Church, VA fee schedule · both | 2 | $88 | $88 | $2 | 3% | — | $86 – $91 |
| 19 | Inova Loudoun Hospital Leesburg, VA fee schedule · both | 2 | $88 | $88 | $2 | 3% | — | $86 – $91 |
| 20 | Inova Mount Vernon Hospital Alexandria, VA fee schedule · both | 2 | $88 | $88 | $2 | 3% | — | $86 – $91 |
| 21 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 22 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $186 | $186 | — | — | — | $186 – $186 |
| 23 | MedStar Washington Hospital Center NW, WA facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 24 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $113 | $113 | — | — | — | $113 – $113 |
| 25 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
← Payers reporting CPT 90480 · Snapshot 20261111T120946Z-9134e7f7