Haemophilus influenzae type b (Hib) vaccine, 3-dose series

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

professional

Payers reporting CPT 90647

Payer pricing summary

Low

Average

$88

Median

$64

High

$469

Payer rate distribution

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#
1	Wellmark fee schedule · outpatient · +15 other terms	21	$31	$32	$8	25%	410	$30 – $75
2	Anthem fee schedule · outpatient · +23 other terms	89	$37	$56	$64	114%	4–40	$3 – $313
3	Blue Cross Blue Shield fee schedule · outpatient · +32 other terms	257	$72	$87	$60	68%	2–20	$0 – $341
4	UnitedHealthcare fee schedule · outpatient · +29 other terms	449	$62	$63	$39	61%	—	$0 – $869
5	Cigna fee schedule · outpatient · +22 other terms	238	$64	$104	$74	71%	—	$0 – $512
6	Humana fee schedule · outpatient · +21 other terms	174	$32	$159	$709	445%	—	$1 – $8.3k
7	Aetna fee schedule · outpatient · +30 other terms	130	$38	$231	$908	393%	—	$0 – $8.4k
8	Molina facility · case rate · outpatient · +25 other terms	37	$20	$16	$7	43%	—	$6 – $36
9	MultiPlan fee schedule · outpatient · +15 other terms	37	$66	$91	$66	73%	—	$4 – $267
10	Medica fee schedule · outpatient · +15 other terms	34	$62	$86	$96	112%	—	$18 – $470
11	Bcbs Tx fee schedule · outpatient · +3 other terms	24	$129	$121	$33	27%	—	$42 – $200
12	Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms	21	$12	$15	$11	71%	—	$10 – $55
13	Highmark fee schedule · outpatient · +16 other terms	21	$42	$52	$54	104%	—	$13 – $313
14	Regence facility · fee schedule · both · +11 other terms	20	$31	$39	$19	49%	—	$15 – $102
15	Premera facility · fee schedule · both · +6 other terms	19	$31	$39	$19	47%	—	$14 – $102
16	Carefirst facility · fee schedule · both · +8 other terms	18	$31	$40	$18	46%	—	$31 – $102
17	Caresource fee schedule · outpatient · +16 other terms	18	$32	$31	$7	23%	—	$1 – $33
18	Excellus facility · fee schedule · both · +10 other terms	18	$31	$40	$18	46%	—	$31 – $102
19	Kaiser facility · fee schedule · both · +18 other terms	16	$31	$31	$24	77%	—	$2 – $102
20	Medicaid fee schedule · outpatient · +12 other terms	16	$45	$47	$34	73%	—	$1 – $155
21	Aetna Better Health fee schedule · outpatient · +13 other terms	15	$31	$30	$2	8%	—	$27 – $34
22	Tricare facility · fee schedule · outpatient · +11 other terms	15	$84	$1.5k	$8.3k	549%	—	$0 – $50k
23	Ambetter other · outpatient · +13 other terms	13	$747	$565	$309	55%	—	$28 – $789
24	Optum facility · case rate · outpatient · +16 other terms	13	$9	$10	$3	32%	—	$8 – $18
25	WellCare other · outpatient · +15 other terms	13	$39	$68	$25	36%	—	$20 – $83

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