Meningococcal five-strain vaccine (A, B, C, W, Y) injection

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MENINGOCOCC VAC A,C,Y,W135,CONJ TET COMPONENT(PF) SUSP (PENBRAYA)

Highmark pricing summary

Low

$12

Average

$193

Median

$321

High

$349

Highmark rate distribution

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36 hospital rates

#		Plans
1	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient	11	$335	$335	—	—	—	$335 – $335
2	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient	12	$335	$308	$89	29%	—	$14 – $335
3	Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both	1	$349	$349	—	—	—	$349 – $349
4	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient	11	$335	$335	—	—	—	$335 – $335
5	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient	12	$335	$308	$89	29%	—	$14 – $335
6	Davis Medical Center Elkins, WV professional · fee schedule · both	1	$349	$349	—	—	—	$349 – $349
7	ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient	7	$287	$229	$100	44%	—	$86 – $332
8	GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient	11	$335	$335	—	—	—	$335 – $335
9	GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient	12	$335	$308	$89	29%	—	$14 – $335
10	Geisinger St Luke's Hospital - Orwigsburg Campus Orwigsburg, PA facility · fee schedule · outpatient	1	$12	$12	—	—	—	$12 – $12
11	JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · inpatient	11	$335	$335	—	—	—	$335 – $335
12	JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient	12	$335	$308	$89	29%	—	$14 – $335
13	SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · inpatient	11	$335	$335	—	—	—	$335 – $335
14	SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · outpatient	12	$335	$308	$89	29%	—	$14 – $335
15	Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges	1	$229	$229	—	—	—	$229 – $229
16	St Luke's Hospital - Allentown Campus Allentown, PA facility · fee schedule · outpatient	1	$12	$12	—	—	—	$12 – $12
17	St Luke's Hospital - Anderson Campus Easton, PA facility · fee schedule · outpatient	1	$12	$12	—	—	—	$12 – $12
18	St Luke's Hospital - Bethlehem Campus Bethlehem, PA facility · fee schedule · outpatient	1	$12	$12	—	—	—	$12 – $12
19	St Luke's Hospital - Carbon Campus Lehighton, PA facility · fee schedule · outpatient	1	$12	$12	—	—	—	$12 – $12
20	St Luke's Hospital - Easton Campus Easton, PA facility · fee schedule · outpatient	1	$12	$12	—	—	—	$12 – $12
21	St Luke's Hospital - Lehighton Campus Lehighton, PA facility · fee schedule · outpatient	1	$12	$12	—	—	—	$12 – $12
22	St Luke's Hospital - Miners Campus Coaldale, PA facility · fee schedule · outpatient	1	$12	$12	—	—	—	$12 – $12
23	St Luke's Hospital - Monroe Campus Stroudsburg, PA facility · fee schedule · outpatient	1	$12	$12	—	—	—	$12 – $12
24	St Luke's Hospital - Sacred Heart Campus Allentown, PA facility · fee schedule · outpatient	1	$12	$12	—	—	—	$12 – $12
25	St Luke's Hospital - Upper Bucks Campus Quakertown, PA facility · fee schedule · outpatient	1	$12	$12	—	—	—	$12 – $12

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← Payers reporting CPT 90623 · Snapshot 20261112T181611Z-3fa9fb76

CPT 90623