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
Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use
Low
$0
Average
$45
Median
$39
High
$151
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
81 hospitals; the 90th percentile is 11.3× 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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97 hospital rates
iThe hospitals that file a Medicaid 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 | Tufts Medical Center BOSTON, MA other · both | 1 | $0 | $0 | — | — | 1–10 | $0 – $0 |
| 2 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $73 | $73 | $62 | 85% | — | $11 – $135 |
| 3 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $32 | $48 | $29 | 61% | — | $29 – $98 |
| 4 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $38 | $54 | $32 | 58% | — | $26 – $98 |
| 5 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $17 | $17 | $1 | 5% | — | $16 – $18 |
| 6 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $17 | $17 | $1 | 5% | — | $16 – $18 |
| 7 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 8 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 9 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $7 | $7 | — | — | — | $7 – $7 |
| 10 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 2 | $7 | $7 | — | — | — | $7 – $7 |
| 11 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 13 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 14 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 15 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 2 | $16 | $16 | $1 | 5% | — | $16 – $17 |
| 16 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $43 | $43 | — | — | — | $43 – $43 |
| 17 | FISHERMENS HEALTH, INC MARATHON, FL fee schedule · both | 2 | $16 | $16 | $1 | 5% | — | $16 – $17 |
| 18 | Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient | 2 | $48 | $48 | — | — | — | $48 – $48 |
| 19 | Geisinger Bloomsburg Hospital Bloomsburg, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Geisinger Jersey Shore Hospital Jersey Shore, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 24 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · both | 1 | $21 | $21 | — | — | — | $21 – $21 |
← Payers reporting CPT 90633 · Snapshot 20261111T120946Z-9134e7f7