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
$456
Median
$276
High
$8.8k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
546 hospitals; the 90th percentile is 5.8× 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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767 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 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 3 | $104 | $137 | $59 | 43% | 64–91 | $87 – $219 |
| 2 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 3 | $104 | $137 | $59 | 43% | 64–91 | $87 – $219 |
| 3 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC fee schedule · both | 2 | $197 | $197 | $41 | 21% | 23–32 | $156 – $238 |
| 4 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC fee schedule · both | 2 | $197 | $197 | $41 | 21% | 23–32 | $156 – $238 |
| 5 | MVHS, Inc. Utica, NY fee schedule · both | 1 | $200 | $200 | — | — | 4–40 | $200 – $200 |
| 6 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $229 | $229 | — | — | 2–20 | $229 – $229 |
| 7 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 2 | $351 | $351 | $0 | 0% | 2–20 | $351 – $352 |
| 8 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC fee schedule · both | 1 | $155 | $155 | — | — | 1–10 | $155 – $155 |
| 9 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC percent of total billed charges · bothfrom % of charges | 2 | $38 | $38 | $3 | 9% | 1–10 | $35 – $42 |
| 10 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 3 | $211 | $193 | $37 | 19% | 1–10 | $116 – $211 |
| 11 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 3 | $1.9k | $2.0k | $238 | 12% | — | $1.7k – $2.3k |
| 12 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 5 | $50 | $80 | $88 | 110% | — | $9 – $250 |
| 13 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $331 | $331 | — | — | — | $331 – $331 |
| 14 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $982 | $982 | — | — | — | $982 – $982 |
| 15 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $110 | $142 | $52 | 37% | — | $91 – $205 |
| 16 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $117 | $116 | $2 | 1% | — | $114 – $117 |
| 17 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 3 | $114 | $114 | — | — | — | $114 – $114 |
| 18 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $114 | $114 | — | — | — | $114 – $114 |
| 19 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 8 | $211 | $211 | — | — | — | $211 – $211 |
| 20 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 4 | $357 | $642 | $507 | 79% | — | $334 – $1.5k |
| 21 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 22 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 2 | $258 | $258 | $7 | 3% | — | $251 – $265 |
| 23 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 3 | $189 | $189 | — | — | — | $189 – $189 |
| 24 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $388 | $388 | — | — | — | $388 – $388 |
| 25 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $388 | $388 | — | — | — | $388 – $388 |
← Payers reporting CPT 90621 · Snapshot 20261112T181611Z-3fa9fb76