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CPT 90621

00005-0100-10 - meningococcal group B vaccine full

Reported by 13 hospitals in the network under the other methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$94

Average

$359

Median

$427

High

$715

Hospitals reporting this code

#HospitalLocation
1Bluffton Health System LLCBluffton, IN$49$555$388$1.9k$237
2Dukes Health System LLCPeru, IN$0$493$345$2.5k$230
3St. Joseph Health System, LLCWayne, IN$0$0$715$2.1k$1.0k
4Jackson HMA LLCJackson, MS$0$143$190$1.4k$293
5Brandon HMA LLCBrandon, MS$0$143$94$162$73
6River Oaks Hospital LLCFlowood, MS$0$143$100$162$71
7Poplar Bluff Regional Medical Center LLCPoplar Bluff, MO$0$156$156$311$156
8La Porte Hospital Company LLCLa Porte, IN$209$518$518$1.8k—
9Northside Hospital, Inc.Lawrenceville, GA$119$539$427$1.1k$196
10Northside Hospital, Inc.Canton, GA$119$550$432$1.1k$201
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