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
$43
Median
$46
High
$139
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14 hospital rates
iThe hospitals that file a Ambetter 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 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 2 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL case rate · outpatient | 3 | $0 | $0 | $0 | 14% | — | $0 – $0 |
| 6 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 7 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $23 | $23 | $22 | 92% | — | $2 – $45 |
| 8 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 9 | Mercy Medical Center - Dyersville Dyersville, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 10 | Mercy Medical Center - New Hampton New Hampton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 11 | PRISMA HEALTH LAURENS COUNTY HOSPITAL CLINTON, SC percent of total billed charges · bothfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 12 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · bothfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 13 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS percent of total billed charges · bothfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 14 | St. Joseph's Mercy Hospital, Centerville Centerville, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $34 | $34 | — | — | — | $34 – $34 |
← Payers reporting CPT 90634 · Snapshot 20261113T090226Z-3ce6c0b8