Meningococcal ACWY vaccine (tetanus toxoid conjugate)

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

Menacwy-Tt Conj Vacc Serogroups Acwy for Im Use

Medicaid pricing summary

Low

$10

Average

$317

Median

$185

High

$1.9k

Medicaid rate distribution

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70 hospital rates

#		Plans
1	ACADIAN MEDICAL CENTER EUNICE, LA percent of total billed charges · bothfrom % of charges	6	$418	$418	$285	68%	—	$133 – $703
2	ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient	1	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
3	ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient	1	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
4	Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient	1	$10	$10	—	—	—	$10 – $10
5	CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges	1	$46	$46	—	—	—	$46 – $46
6	Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges	1	$95	$95	—	—	—	$95 – $95
7	Clarion Hospital Clarion, PA facility · case rate · outpatient	1	$10	$10	—	—	—	$10 – $10
8	Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient	1	$83	$83	—	—	—	$83 – $83
9	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLE CRAWFORDSVILLE, IN fee schedule · both	1	$185	$185	—	—	—	$185 – $185
10	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN fee schedule · both	2	$185	$198	$17	9%	—	$185 – $222
11	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN fee schedule · both	14	$185	$194	$16	8%	—	$185 – $222
12	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · both	14	$185	$194	$16	8%	—	$185 – $222
13	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN fee schedule · both	2	$204	$204	$19	9%	—	$185 – $222
14	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN fee schedule · both	2	$204	$204	$19	9%	—	$185 – $222
15	FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN fee schedule · both	2	$204	$204	$19	9%	—	$185 – $222
16	Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient	2	$173	$173	—	—	—	$173 – $173
17	Greater Baltimore Medical Center Towson, MD professional · fee schedule · both	1	$150	$150	—	—	—	$150 – $150
18	HMA Santa Rosa Medical Center LLC Milton, FL facility · fee schedule · outpatient	1	$83	$83	—	—	—	$83 – $83
19	Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges	1	$61	$61	—	—	—	$61 – $61
20	Hospital Authority of Colquitt County Moultrie, GA fee schedule · both	1	$36	$83	$57	69%	—	$35 – $158
21	Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · other · outpatient	1	$208	$208	—	—	—	$208 – $208
22	INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient	1	$83	$83	—	—	—	$83 – $83
23	LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient	1	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
24	Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges	1	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
25	MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges	1	$565	$744	$273	37%	—	$536 – $1.1k

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CPT 90619