CPT 90630
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
Flu vacc iiv4 no preserv id
Low
$0
Average
$216
Median
$23
High
$13.9k
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138 hospital rates
iThe hospitals that file a Aetna 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $37 | $37 | $5 | 12% | — | $32 – $42 |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 3 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 4 | Ascension St. Vincent Heart Center Carmel, IN other · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Ascension Via Christi Hospital St. Teresa, Inc. Wichita, KS other · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 6 | Ascension Via Christi Hospitals Wichita, Inc. Wichita, KS other · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 7 | Ascension Via Christi Rehabilitation Hospital, Inc. Wichita, KS fee schedule · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 8 | Ascension Via Christi Rehabilitation Hospital, Inc. Wichita, KS other · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 9 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 10 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 11 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 12 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 13 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · fee schedule · outpatient | 3 | $39 | $38 | $4 | 10% | — | $32 – $42 |
| 14 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · fee schedule · outpatient | 2 | $37 | $37 | $5 | 12% | — | $32 – $42 |
| 15 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · fee schedule · outpatient | 3 | $39 | $38 | $4 | 10% | — | $32 – $42 |
| 16 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · fee schedule · outpatient | 3 | $39 | $38 | $4 | 10% | — | $32 – $42 |
| 17 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 18 | Carmel AmbSurg Carmel, IN other · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $22 | $22 | $4 | 18% | — | $18 – $26 |
| 20 | Cleveland Clinic Mercy Hospital Canton, OH facility · fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 21 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 22 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 23 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 24 | Corona Regional Medical Center Corona, CA fee schedule · both | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 25 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $18 | $18 | — | — | — | $18 – $18 |
← Payers reporting CPT 90630 · Snapshot 20261113T090226Z-3ce6c0b8