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
$6
Average
$33
Median
$28
High
$357
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140 hospital rates
iThe hospitals that file a Cigna 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 GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 2 | $20 | $20 | — | — | — | $20 – $20 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 3 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 4 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 5 | Advocate Christ Medical Center Oak Lawn, IL facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 6 | Advocate Condell Medical Center Libertyville, IL fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 7 | Advocate Good Samaritan Hospital Downers Grove, IL fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 8 | Advocate Good Shepherd Hospital Barrington, IL fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 9 | Advocate Illinois Masonic Medical Center Chicago, IL fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 10 | Advocate Lutheran General Hospital Park Ridge, IL fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 11 | Advocate Sherman Hospital Elgin, IL fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 12 | Advocate South Suburban Hospital Hazel Crest, IL fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 13 | Advocate Trinity Hospital Chicago, IL fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 14 | Alexian Brothers Behavioral Health Hospital Estates, IL fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 15 | Alexian Brothers Medical Center Village, IL fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 16 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 17 | Ascension SE Wisconsin Hospital, Inc. Milwaukee, WI other · both | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 18 | Ascension SE Wisconsin Hospital, Inc. Franklin, WI other · both | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 19 | Ascension SE Wisconsin Hospital, Inc. Brookfield, WI other · both | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 20 | Ascension St. Francis Hospital, Inc. Milwaukee, WI other · both | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 21 | Beth Israel Deaconess Hospital - Needham Needham, MA fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 22 | Beth Israel Deaconess Hospital - Plymouth Plymouth, MA fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 23 | Blue Hill Memorial Hospital Hill, ME facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 24 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 25 | Charles A. Dean Memorial Hospital Greenville, ME facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
← Payers reporting CPT 90630 · Snapshot 20261113T090226Z-3ce6c0b8