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
N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE
Low
$0
Average
$300
Median
$194
High
$1.1k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
70 hospitals; the 90th percentile is 8.7× 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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82 hospital rates
iThe hospitals that file a Ambetter 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 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $176 | $176 | — | — | 1–10 | $176 – $176 |
| 2 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $341 | $341 | — | — | 1–10 | $341 – $341 |
| 3 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 1 | $606 | $606 | $432 | 71% | 1–10 | $175 – $1.0k |
| 4 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $175 | $175 | — | — | 1–10 | $175 – $175 |
| 5 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $606 | $606 | $432 | 71% | 1–10 | $175 – $1.0k |
| 6 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $175 | $175 | — | — | 1–10 | $175 – $175 |
| 7 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $819 | $819 | — | — | — | $819 – $819 |
| 8 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 2 | $232 | $236 | $58 | 24% | — | $169 – $310 |
| 9 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 2 | $241 | $244 | $59 | 24% | — | $177 – $318 |
| 10 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 2 | $238 | $242 | $59 | 24% | — | $173 – $318 |
| 11 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 2 | $235 | $239 | $59 | 25% | — | $169 – $318 |
| 12 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 2 | $229 | $234 | $60 | 26% | — | $162 – $318 |
| 13 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 14 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $220 | $226 | $59 | 26% | — | $154 – $310 |
| 15 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 2 | $306 | $310 | $75 | 24% | — | $225 – $403 |
| 16 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $295 | $301 | $75 | 25% | — | $211 – $403 |
| 17 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $220 | $226 | $59 | 26% | — | $154 – $310 |
| 18 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $202 | $202 | — | — | — | $202 – $202 |
| 19 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $217 | $217 | — | — | — | $217 – $217 |
| 20 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · inpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 21 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $602 | $602 | — | — | — | $602 – $602 |
| 22 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 23 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 24 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $730 | $730 | — | — | — | $730 – $730 |
| 25 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · inpatientfrom % of charges | 1 | $273 | $273 | $257 | 94% | — | $17 – $530 |
← Payers reporting CPT 90621 · Snapshot 20261112T181611Z-3fa9fb76