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
HEPATITIS A VIRUS VACCINE (PF) 1 ML IM (WRAPPER)
Low
$24
Average
$391
Median
$83
High
$25.0k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
103 hospitals; the 90th percentile is 5.1× 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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123 hospital rates
iThe hospitals that file a Tricare 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $74 | $74 | — | — | 1–10 | $74 – $74 |
| 2 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 1 | $74 | $74 | — | — | 1–10 | $74 – $74 |
| 3 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $72 | $72 | — | — | — | $72 – $72 |
| 4 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 5 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 6 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 7 | Aspirus Wausau Hospital Wausau, WI fee schedule · both | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 8 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 9 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 10 | Beaufort Memorial Hospital Beaufort, SC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 11 | Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient | 1 | $311 | $311 | — | — | — | $311 – $311 |
| 12 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient | 4 | $72 | $72 | — | — | — | $72 – $72 |
| 13 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 1 | $445 | $445 | $282 | 63% | — | $163 – $727 |
| 14 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 15 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 16 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $83 | $83 | — | — | — | $83 – $83 |
| 17 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $83 | $83 | — | — | — | $83 – $83 |
| 18 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $136 | $136 | $78 | 57% | — | $59 – $214 |
| 19 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $68 | $68 | $1 | 1% | — | $67 – $68 |
| 20 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 21 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $123 | $134 | $12 | 9% | — | $123 – $147 |
| 22 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $96 | $139 | $102 | 74% | — | $25 – $326 |
| 23 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 24 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 25 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $131 | $131 | $30 | 23% | — | $101 – $161 |
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