CPT 90613
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
Inf&sarscov2 vacc 40/0.4 im
Low
$19
Average
$7.6k
Median
$59
High
$37.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
9 payers; the 90th percentile is 750.8× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +1 other terms | 6 | $34 | $3.6k | $2.9k | 82% | — | $34 – $8.4k |
| 2 | Anthem fee schedule · outpatient · +1 other terms | 4 | $34 | $34 | $0 | 0% | — | $34 – $35 |
| 3 | Humana fee schedule · outpatient · +1 other terms | 4 | $36 | $36 | $0 | 0% | — | $36 – $36 |
| 4 | UnitedHealthcare fee schedule · outpatient | 4 | $34 | $34 | $0 | 0% | — | $34 – $35 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 2 | $28 | $28 | — | — | — | $28 – $28 |
| 6 | Devoted facility · fee schedule · outpatient | 1 | $20k | $20k | — | — | — | $20k – $20k |
| 7 | Highmark fee schedule · outpatient | 1 | $59 | $59 | $24 | 42% | — | $42 – $93 |
| 8 | Molina fee schedule · outpatient | 1 | $59 | $59 | $24 | 42% | — | $42 – $93 |
| 9 | Tricare facility · fee schedule · outpatient | 1 | $37.5k | $37.5k | — | — | — | $37.5k – $37.5k |
← Hospitals reporting CPT 90613 · Snapshot 20261113T090226Z-3ce6c0b8