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
$408
Median
$332
High
$2.0k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
230 hospitals; the 90th percentile is 5.0× 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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331 hospital rates
iThe hospitals that file a First Health 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 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $147 | $147 | $113 | 77% | — | $34 – $260 |
| 2 | ALASKA REGIONAL HOSPITAL Anchorage, AK percent of total billed charges · outpatientfrom % of charges | 2 | $420 | $420 | — | — | — | $420 – $420 |
| 3 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $458 | $458 | — | — | — | $458 – $458 |
| 4 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $188 | $188 | — | — | — | $188 – $188 |
| 5 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $458 | $458 | — | — | — | $458 – $458 |
| 6 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $188 | $188 | — | — | — | $188 – $188 |
| 7 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $735 | $735 | — | — | — | $735 – $735 |
| 8 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $735 | $735 | — | — | — | $735 – $735 |
| 9 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 1 | $587 | $587 | $138 | 24% | — | $449 – $726 |
| 10 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $587 | $587 | $138 | 24% | — | $449 – $726 |
| 11 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 1 | $587 | $587 | $138 | 24% | — | $449 – $726 |
| 12 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $587 | $587 | $138 | 24% | — | $449 – $726 |
| 13 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 1 | $622 | $622 | $146 | 24% | — | $476 – $768 |
| 14 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $622 | $622 | $146 | 24% | — | $476 – $768 |
| 15 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 16 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 17 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $654 | $654 | — | — | — | $654 – $654 |
| 18 | Black River Health Inc Black River Falls, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $589 | $589 | — | — | — | $589 – $589 |
| 19 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $550 | $816 | 148% | — | $0 – $1.8k |
| 20 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $550 | $816 | 148% | — | $0 – $1.8k |
| 21 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $1 | $291 | $410 | 141% | — | $1 – $872 |
| 22 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 1 | $1 | $291 | $410 | 141% | — | $1 – $872 |
| 23 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 1 | $1 | $291 | $410 | 141% | — | $1 – $872 |
| 24 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 1 | $1 | $291 | $410 | 141% | — | $1 – $872 |
| 25 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $1 | $291 | $410 | 141% | — | $1 – $872 |
← Payers reporting CPT 90621 · Snapshot 20261112T181611Z-3fa9fb76