CPT 90634
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 VACC PED/ADOL 3 DOSE
Prices here combine facility and professional fees. See them separately →Experimental
Low
$1
Average
$682
Median
$36
High
$22.5k
Showing only prices reported under the other methodology. Choose another in the filter below to change the chart. 36 hospitals; the 90th percentile is 9.9× 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.
Click a bar to filter the hospitals table to that price range.
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Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Henry Ford Health Novi, MI | $26 | $28 | $2 | 8% | — | $26 – $31 |
| 2 | St. Vincent's Medical Center-Clay County, Inc. Middleburg, FL | $36 | $36 | — | — | — | $36 – $36 |
| 3 | St. Luke's-St. Vincent's Healthcare, Inc. Jacksonville, FL | $36 | $36 | — | — | — | $36 – $36 |
| 4 | Fairfield Medical Center Lancaster, OH | $123 | $123 | — | — | — | $123 – $123 |
| 5 | Nationwide Children's Hospital Columbus, OH | $15 | $15 | — | — | — | $15 – $15 |
| 6 | St. Vincent's Medical Center, Inc. (FL) Jacksonville, FL | $36 | $36 | — | — | — | $36 – $36 |
| 7 | Northeastern Vermont Regional Hospital, Inc. St. Johnsbury, VT | $60 | $60 | — | — | — | $60 – $60 |
| 8 | St. Alexius Medical Center Estates, IL | $116 | $115 | $2 | 2% | — | $112 – $116 |
| 9 | Bellevue Medical Center Llc Bellevue, NE | $89 | $108 | $46 | 43% | — | $89 – $230 |
| 10 | Boone Memorial Hospital Madison, WV | $5 | $5 | $0 | 1% | — | $5 – $5 |
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