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
$1
Average
$176
Median
$125
High
$1.5k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
218 hospitals; the 90th percentile is 14.2× 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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276 hospital rates
iThe hospitals that file a Molina 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 | 1 | $357 | $357 | — | — | 1–10 | $357 – $357 |
| 2 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 1 | $291 | $291 | — | — | 1–10 | $291 – $291 |
| 3 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $291 | $291 | — | — | 1–10 | $291 – $291 |
| 4 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 1 | $357 | $357 | — | — | 1–10 | $357 – $357 |
| 5 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $291 | $291 | — | — | 1–10 | $291 – $291 |
| 6 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $291 | $291 | — | — | 1–10 | $291 – $291 |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 8 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 9 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 10 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $174 | $174 | $0 | 0% | — | $174 – $174 |
| 11 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 4 | $131 | $135 | $17 | 12% | — | $120 – $160 |
| 12 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 13 | Aiken Regional Medical Centers North Augusta, SC fee schedule · both | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 14 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · both | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 15 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $188 | $188 | $21 | 11% | — | $167 – $209 |
| 16 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $378 | $378 | — | — | — | $378 – $378 |
| 17 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 18 | BRONXCARE HEALTH SYSTEM Bronx, NY other · outpatient | 2 | $42 | $47 | $11 | 23% | — | $42 – $69 |
| 19 | BRONXCARE HEALTH SYSTEM Bronx, NY other · outpatient | 2 | $42 | $47 | $11 | 23% | — | $42 – $69 |
| 20 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 21 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 22 | Bartow Regional Medical Center Bartow, FL facility · case rate · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 23 | BayCare Alliant Hospital Dunedin, FL facility · case rate · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 24 | Baycare Hospital Wesley Chapel Chapel, FL facility · case rate · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 25 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $208 | $208 | — | — | — | $208 – $208 |
← Payers reporting CPT 90621 · Snapshot 20261112T181611Z-3fa9fb76