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
MENINGOCOCC VAC A,C,Y,W135,CONJ TET COMPONENT(PF) SUSP (PENBRAYA)
Low
$1
Average
$228
Median
$145
High
$622
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4 hospital rates
iThe hospitals that file a Phcs 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 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 3 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · bothfrom % of charges | 1 | $622 | $622 | — | — | — | $622 – $622 |
| 4 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $290 | $290 | — | — | — | $290 – $290 |
← Payers reporting CPT 90623 · Snapshot 20261112T181611Z-3fa9fb76