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
$59
Median
$33
High
$982
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
134 hospitals; the 90th percentile is 6182.7× 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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138 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $59 | $77 | $28 | 37% | — | $50 – $111 |
| 2 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $36 | $32 | $8 | 26% | — | $20 – $39 |
| 3 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $74 | $74 | $5 | 7% | — | $69 – $80 |
| 4 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $74 | $74 | $5 | 7% | — | $69 – $80 |
| 5 | Ascension Cedar Park Park, TX fee schedule · outpatient | 3 | $68 | $68 | $6 | 9% | — | $60 – $75 |
| 6 | Ascension Providence Waco, TX fee schedule · outpatient | 3 | $46 | $47 | $2 | 5% | — | $44 – $50 |
| 7 | Ascension Providence Waco, TX other · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 8 | Ascension Seton Austin, TX fee schedule · outpatient | 3 | $68 | $68 | $6 | 9% | — | $60 – $75 |
| 9 | Ascension Seton Austin, TX fee schedule · outpatient | 3 | $68 | $68 | $6 | 9% | — | $60 – $75 |
| 10 | Ascension Seton Austin, TX fee schedule · outpatient | 3 | $68 | $68 | $6 | 9% | — | $60 – $75 |
| 11 | Ascension Seton Luling, TX fee schedule · outpatient | 3 | $68 | $68 | $6 | 9% | — | $60 – $75 |
| 12 | Ascension Seton Burnet, TX fee schedule · outpatient | 3 | $68 | $68 | $6 | 9% | — | $60 – $75 |
| 13 | Ascension Seton Smithville, TX fee schedule · outpatient | 3 | $68 | $68 | $6 | 9% | — | $60 – $75 |
| 14 | Ascension Seton Bastrop, TX fee schedule · outpatient | 3 | $68 | $68 | $6 | 9% | — | $60 – $75 |
| 15 | Ascension Seton Austin, TX fee schedule · outpatient | 3 | $68 | $68 | $6 | 9% | — | $60 – $75 |
| 16 | Ascension Via Christi Hospital Manhattan, Inc. Manhattan, KS other · outpatient | 2 | $28 | $28 | $1 | 3% | — | $28 – $29 |
| 17 | Austin Center for Outpatient Surgery LP, DBA Northwest Hills Surgical Hospital Austin, TX fee schedule · outpatient | 3 | $68 | $68 | $6 | 9% | — | $60 – $75 |
| 18 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 19 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 20 | Billings Clinic Billings, MT fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 21 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 22 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · outpatient | 3 | $92 | $78 | $20 | 26% | — | $50 – $92 |
| 23 | Corona Regional Medical Center Corona, CA fee schedule · both | 2 | $18 | $18 | — | — | — | $18 – $18 |
| 24 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 4 | $67 | $67 | $0 | 0% | — | $67 – $68 |
| 25 | Cuero Regional Hospital Cuero, TX percent of total billed charges · inpatientfrom % of charges | 1 | $434 | $434 | — | — | — | $434 – $434 |
← Payers reporting CPT 90630 · Snapshot 20261113T090226Z-3ce6c0b8