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
Low
$0
Average
$106
Median
$44
High
$5.3k
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270 hospital rates
iThe hospitals that file a Aetna 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $62 | $62 | $8 | 12% | — | $55 – $70 |
| 2 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $31 | $31 | $0 | 1% | — | $31 – $31 |
| 3 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 4 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 5 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 6 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $44 | $44 | $0 | 1% | — | $44 – $45 |
| 7 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $77 | $77 | — | — | — | $77 – $77 |
| 8 | Ascension Via Christi Hospital Manhattan, Inc. Manhattan, KS fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Aurora BayCare Medical Center Green Bay, WI fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 10 | Aurora Lakeland Medical Center Elkhorn, WI fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 11 | Aurora Medical Center Bay Area Marinette, WI fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 12 | Aurora Medical Center Burlington Burlington, WI fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 13 | Aurora Medical Center Fond du Lac Fond Du Lac, WI fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 14 | Aurora Medical Center Grafton Grafton, WI fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 15 | Aurora Medical Center Kenosha Kenosha, WI fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 16 | Aurora Medical Center Manitowoc Two Rivers, WI fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 17 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 18 | Aurora Medical Center Oshkosh Oshkosh, WI fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 19 | Aurora Medical Center Sheboygan County Sheboygan, WI fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 20 | Aurora Medical Center Summit Summit, WI fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 21 | Aurora Medical Center Washington County Hartford, WI fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 22 | Aurora Psychiatric Hospital Wauwatosa, WI fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 23 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 24 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 25 | Aurora St Lukes South Shore of Aurora Health Care Metro Inc Cudahy, WI fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
← Payers reporting CPT 90634 · Snapshot 20261113T090226Z-3ce6c0b8