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
PR HEPA VACCINE 3 DOSE SCHEDULE PED/ADOLESC IM USE
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$560
Median
$50
High
$27.9k
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter below to change the chart. 108 hospitals; the 90th percentile is 11.9× 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 negotiated percentage of total billed charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Deaconess Hospital, Inc Newburgh, IN | $15 | $25 | $25 | 101% | — | $1 – $66 |
| 2 | Mercy Health Services-Iowa Corp. Mason City, IA | $39 | $46 | $13 | 29% | — | $19 – $74 |
| 3 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN | $149 | $153 | $38 | 25% | — | $38 – $216 |
| 4 | Indiana University Health White Memorial Hospital Inc. Monticello, IN | $149 | $151 | $38 | 25% | — | $75 – $221 |
| 5 | St. Luke's-St. Vincent's Healthcare, Inc. Jacksonville, FL | $166 | $166 | — | — | — | $166 – $166 |
| 6 | Mercy Medical Center - Dyersville Dyersville, IA | $58 | $56 | $11 | 19% | — | $26 – $79 |
| 7 | Fairfield Medical Center Lancaster, OH | $26.1k | $27.9k | $3.2k | 12% | — | $25.9k – $33.5k |
| 8 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN | $11 | $11 | $1 | 10% | — | $10 – $14 |
| 9 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN | $11 | $12 | $3 | 25% | — | $6 – $16 |
| 10 | Methodist Lebonheur Childrens Hosp MEMPHIS, TN | $26 | $33 | $18 | 53% | — | $21 – $79 |
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