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
Menb-4c Recombnt Prot & Outer Memb Vesic Vacc Im
Low
$0
Average
$468
Median
$347
High
$8.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
804 hospitals; the 90th percentile is 4.6× 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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1,159 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 3 | $284 | $340 | $89 | 26% | 1,156 | $270 – $466 |
| 2 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 2 | $309 | $309 | — | — | 231–249 | $309 – $309 |
| 3 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $233 | $233 | — | — | 129 | $233 – $233 |
| 4 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 12 | $282 | $292 | $16 | 5% | 98–143 | $275 – $313 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 2 | $237 | $233 | $9 | 4% | 92–200 | $214 – $237 |
| 6 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 6 | $235 | $245 | $20 | 8% | 87–96 | $235 – $282 |
| 7 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 2 | $252 | $251 | $2 | 1% | 64–199 | $248 – $252 |
| 8 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $248 | $248 | — | — | 60 | $248 – $248 |
| 9 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $237 | $237 | — | — | 49–76 | $237 – $237 |
| 10 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 8 | $282 | $285 | $15 | 5% | 47–65 | $266 – $313 |
| 11 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 50 | $905 | $890 | $46 | 5% | 47–92 | $724 – $905 |
| 12 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 3 | $273 | $413 | $214 | 52% | 46–55 | $266 – $817 |
| 13 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 3 | $273 | $413 | $214 | 52% | 46–55 | $266 – $817 |
| 14 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $333 | $333 | — | — | 42–87 | $333 – $333 |
| 15 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 1 | $265 | $265 | — | — | 39 | $265 – $265 |
| 16 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 8 | $282 | $285 | $15 | 5% | 38–56 | $266 – $313 |
| 17 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 3 | $268 | $268 | — | — | 37 | $268 – $268 |
| 18 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 3 | $80 | $91 | $20 | 22% | 36–54 | $74 – $124 |
| 19 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC fee schedule · both | 2 | $273 | $273 | $57 | 21% | 31–112 | $216 – $330 |
| 20 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC fee schedule · both | 2 | $273 | $273 | $57 | 21% | 31–112 | $216 – $330 |
| 21 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | $242 | 19% | 30 | $1.0k – $1.5k |
| 22 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 2 | $218 | $218 | — | — | 28 | $218 – $218 |
| 23 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 3 | $145 | $190 | $81 | 43% | 27–36 | $121 – $305 |
| 24 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 3 | $145 | $190 | $81 | 43% | 27–36 | $121 – $305 |
| 25 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $333 | $333 | — | — | 25–79 | $333 – $333 |
← Payers reporting CPT 90620 · Snapshot 20261111T120946Z-9134e7f7