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
$20
Average
$47
Median
$37
High
$118
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15 hospital rates
iThe hospitals that file a Wellmark 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 | $36 | $36 | — | — | — | $36 – $36 |
| 2 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $61 | $61 | $3 | 5% | — | $59 – $64 |
| 3 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 4 | Mercy Medical Center - Dyersville Dyersville, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 5 | Mercy Medical Center - New Hampton New Hampton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 6 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 7 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 8 | Meriter Hospital, Inc Madison, WI fee schedule · both | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 9 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 10 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 11 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · fee schedule · both | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 12 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 13 | St. Joseph's Mercy Hospital, Centerville Centerville, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 14 | Trinity Medical Center Rock Island, IL case rate · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 15 | Trinity Medical Center Rock Island, IL fee schedule · both | 1 | $43 | $43 | — | — | — | $43 – $43 |
← Payers reporting CPT 90634 · Snapshot 20261113T090226Z-3ce6c0b8