Hepatitis A vaccine for adults

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

HEPATITIS A VIRUS VACCINE (PF) 1 ML IM (WRAPPER)

Payers reporting CPT 90632

Payer pricing summary

Low

Average

$408

Median

$125

High

$4.8k

Payer rate distribution

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#
1	Ucare professional · fee schedule · outpatient · +12 other terms	24	$76	$76	$3	5%	40–49	$72 – $82
2	Wellmark fee schedule · outpatient · +21 other terms	28	$72	$72	$1	1%	26–44	$68 – $75
3	Medicare professional · fee schedule · outpatient · +15 other terms	17	$72	$73	$1	1%	2–20	$72 – $74
4	UnitedHealthcare fee schedule · outpatient · +33 other terms	530	$120	$125	$62	50%	1–10	$1 – $545
5	Blue Cross Blue Shield fee schedule · outpatient · +31 other terms	310	$136	$180	$118	65%	1–10	$1 – $625
6	Humana fee schedule · outpatient · +25 other terms	204	$72	$197	$612	311%	1–10	$1 – $8.3k
7	Kaiser fee schedule · outpatient · +20 other terms	26	$145	$165	$136	82%	1–10	$1 – $610
8	Cigna fee schedule · outpatient · +27 other terms	404	$137	$213	$142	67%	—	$1 – $779
9	Aetna fee schedule · outpatient · +28 other terms	190	$88	$192	$528	275%	—	$1 – $8.4k
10	Anthem fee schedule · outpatient · +26 other terms	116	$99	$117	$83	71%	—	$11 – $872
11	MultiPlan fee schedule · outpatient · +19 other terms	80	$186	$195	$160	82%	—	$1 – $866
12	Molina fee schedule · outpatient · +29 other terms	73	$78	$142	$709	499%	—	$1 – $8.5k
13	Caresource fee schedule · outpatient · +18 other terms	58	$72	$69	$35	51%	—	$1 – $161
14	Highmark facility · fee schedule · outpatient · +20 other terms	58	$81	$205	$211	103%	—	$11 – $936
15	Medica fee schedule · outpatient · +17 other terms	48	$143	$153	$81	53%	—	$23 – $346
16	Amerihealth Caritas facility · fee schedule · outpatient · +18 other terms	47	$66	$47	$37	78%	—	$10 – $140
17	Regence professional · fee schedule · outpatient · +18 other terms	36	$70	$81	$10	13%	—	$70 – $114
18	Optum professional · fee schedule · outpatient · +19 other terms	28	$74	$73	$2	2%	—	$70 – $77
19	First Health fee schedule · outpatient · +19 other terms	27	$216	$265	$142	53%	—	$37 – $743
20	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$243	$216	$34	16%	—	$169 – $263
21	Bcbs Tx fee schedule · outpatient · +4 other terms	26	$296	$280	$86	31%	—	$55 – $457
22	WellCare professional · fee schedule · outpatient · +19 other terms	26	$75	$75	$3	4%	—	$63 – $80
23	Premera facility · fee schedule · both · +15 other terms	25	$73	$97	$50	52%	—	$56 – $272
24	Carefirst facility · fee schedule · both · +14 other terms	24	$73	$98	$50	51%	—	$70 – $272
25	Excellus facility · fee schedule · both · +14 other terms	24	$73	$92	$42	46%	—	$70 – $272

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