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
$5
Average
$37
Median
$36
High
$87
Filter by billing methodology
Filter by billing class
33 hospital rates
iThe hospitals that file a Highmark 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 8 | $33 | $33 | — | — | — | $33 – $33 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $36 | $36 | — | — | — | $36 – $36 |
| 3 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 11 | $36 | $36 | — | — | — | $36 – $36 |
| 4 | Boone Memorial Hospital Madison, WV other · both | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 6 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $36 | $36 | — | — | — | $36 – $36 |
| 7 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 11 | $36 | $36 | — | — | — | $36 – $36 |
| 8 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient | 4 | $33 | $33 | — | — | — | $33 – $33 |
| 9 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 10 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 7 | $33 | $44 | $21 | 47% | — | $33 – $93 |
| 11 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient | 11 | $36 | $36 | — | — | — | $36 – $36 |
| 12 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 11 | $36 | $36 | — | — | — | $36 – $36 |
| 13 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · inpatient | 11 | $36 | $36 | — | — | — | $36 – $36 |
| 14 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 11 | $36 | $36 | — | — | — | $36 – $36 |
| 15 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · inpatient | 11 | $36 | $36 | — | — | — | $36 – $36 |
| 16 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · outpatient | 11 | $36 | $36 | — | — | — | $36 – $36 |
| 17 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $30 | $26 | $7 | 26% | — | $15 – $30 |
| 18 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 19 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · fee schedule · both | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 20 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 21 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 22 | Saratoga Hospital Saratoga Springs, NY professional · fee schedule · outpatient | 4 | $33 | $33 | — | — | — | $33 – $33 |
| 23 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 2 | $41 | $41 | — | — | — | $41 – $41 |
| 24 | WEST PENN ALLEGHENY HEALTH SYSTEM INC WEXFORD, PA fee schedule · inpatient | 11 | $36 | $36 | — | — | — | $36 – $36 |
| 25 | WEST PENN ALLEGHENY HEALTH SYSTEM INC WEXFORD, PA fee schedule · outpatient | 11 | $36 | $36 | — | — | — | $36 – $36 |
← Payers reporting CPT 90634 · Snapshot 20261113T090226Z-3ce6c0b8