COVID-19 vaccine administration, single dose

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

HC Imm Admn Sarscov2 Vaccine Sngl Dose

Molina pricing summary

Low

Average

$114

Median

$43

High

$8.1k

Molina rate distribution

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739 hospital rates

#		Plans
1	Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges	4	$68	$76	$48	64%	329	$29 – $139
2	PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both	1	$55	$55	—	—	117	$55 – $55
3	PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both	1	$55	$55	—	—	117	$55 – $55
4	Henry Ford Health System Plymouth, MI facility · percent of total billed charges · outpatientfrom % of charges	1	$7	$7	—	—	94	$7 – $7
5	St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient	5	$46	$47	$5	10%	36	$43 – $56
6	Massachusetts General Hospital Boston, MA other · both	1	$48	$48	—	—	31	$48 – $48
7	Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · other · both	2	$74	$74	$30	40%	24	$44 – $104
8	University of New Mexico Hospital \| UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient	2	$71	$71	$27	38%	24	$44 – $98
9	Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient	5	$45	$47	$6	14%	12	$44 – $60
10	Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient	4	$45	$48	$7	14%	12–21	$44 – $60
11	Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both	2	$43	$39	$7	19%	12–120	$29 – $45
12	St Luke's Regional Medical Center, LTD Mountain Home, ID other · outpatient	2	$31	$31	$13	43%	3–30	$18 – $45
13	Brigham and Women's Hospital Boston, MA other · both	1	$48	$48	—	—	2–20	$48 – $48
14	Mercy Health Hackley Campus Muskogen, MI facility · other · both	2	$49	$49	$7	14%	2–20	$43 – $56
15	Mercy Health Saint Marys Rockford, MI facility · other · both	2	$46	$46	$6	14%	2–20	$40 – $53
16	PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both	1	$28	$28	$13	45%	2–20	$16 – $41
17	PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both	1	$28	$28	$13	45%	2–20	$16 – $41
18	St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID other · outpatient	2	$32	$32	$14	43%	2–20	$18 – $46
19	Bexar County Hospital District San Antonio, TX other · outpatient	1	$17	$17	—	—	1–10	$17 – $17
20	Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient	1	$24	$24	—	—	1–10	$24 – $24
21	Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · outpatient	1	$24	$24	—	—	1–10	$24 – $24
22	HARTFORD HOSPITAL HARTFORD, CT other · outpatient	1	$17	$17	—	—	1–10	$17 – $17
23	Mercy Health Hackley Campus Muskogen, MI facility · other · outpatient	2	$48	$48	$8	17%	1–10	$40 – $56
24	Mercy Health Saint Marys Rockford, MI facility · other · outpatient	2	$46	$46	$6	14%	1–10	$40 – $53
25	Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient	5	$44	$47	$7	14%	1–10	$43 – $60

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← Payers reporting CPT 90480 · Snapshot 20261111T120946Z-9134e7f7

CPT 90480