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
Menacwy-Tt Conj Vacc Serogroups Acwy for Im Use
Low
$0
Average
$180
Median
$182
High
$552
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
86 hospitals; the 90th percentile is 2.9× 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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89 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 | $164 | $164 | — | — | 15–24 | $164 – $164 |
| 2 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $194 | $194 | — | — | 1–10 | $194 – $194 |
| 3 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $177 | $177 | — | — | — | $177 – $177 |
| 4 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $180 | $180 | — | — | — | $180 – $180 |
| 5 | Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient | 1 | $87 | $87 | $87 | 100% | — | $0 – $173 |
| 6 | Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 7 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $305 | $305 | — | — | — | $305 – $305 |
| 8 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $79 | $79 | — | — | — | $79 – $79 |
| 9 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $83 | $83 | — | — | — | $83 – $83 |
| 10 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $136 | $136 | $58 | 43% | — | $78 – $194 |
| 11 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 12 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 13 | Dupont Hospital LLC Wayne, IN facility · fee schedule · outpatient | 1 | $87 | $87 | $87 | 100% | — | $0 – $173 |
| 14 | Durant HMA LLC Durant, OK facility · fee schedule · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 15 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 16 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 17 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 18 | Glenwood Regional Medical Center - HSA West Monroe, LA facility · fee schedule · outpatient | 1 | $188 | $188 | — | — | — | $188 – $188 |
| 19 | Good Samaritan Hospital Suffern, NY facility · fee schedule · outpatient | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 20 | HMA Santa Rosa Medical Center LLC Milton, FL facility · fee schedule · outpatient | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 21 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 22 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 23 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $83 | $83 | — | — | — | $83 – $83 |
| 24 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 25 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
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