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
$14
Average
$53
Median
$40
High
$2.9k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
203 hospitals; the 90th percentile is 1.9× 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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238 hospital rates
iThe hospitals that file a Tricare 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 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 1 | $43 | $43 | — | — | 20–29 | $43 – $43 |
| 2 | Massachusetts General Hospital Boston, MA other · both | 1 | $47 | $47 | — | — | 11 | $47 – $47 |
| 3 | Brigham and Women's Hospital Boston, MA other · both | 1 | $47 | $47 | — | — | 2–20 | $47 – $47 |
| 4 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $53 | $53 | — | — | 2–20 | $53 – $53 |
| 5 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | — | — | 1–10 | $25 – $25 |
| 6 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 1 | $43 | $43 | — | — | 1–10 | $43 – $43 |
| 7 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA case rate · outpatient | 1 | $43 | $43 | — | — | 1–10 | $43 – $43 |
| 8 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $37 | $37 | — | — | 1–10 | $37 – $37 |
| 9 | Tufts Medical Center BOSTON, MA other · both | 1 | $72 | $72 | — | — | 1–10 | $72 – $72 |
| 10 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 11 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $40 | $40 | $3 | 8% | — | $37 – $44 |
| 12 | Abington Memorial Hospital Abington, PA professional · fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 13 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 14 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 15 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 16 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 17 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 18 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 19 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 20 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 21 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 22 | Ascension Providence Waco, TX other · inpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 23 | Ascension Providence Waco, TX other · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 24 | Ascension Seton Austin, TX other · inpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 25 | Ascension Seton Austin, TX other · inpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
← Payers reporting CPT 90480 · Snapshot 20261111T120946Z-9134e7f7