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
Iiv adjuvant vaccine im
Low
$10
Average
$91
Median
$75
High
$691
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
79 hospitals; the 90th percentile is 8.2× 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.
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93 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $167 | $167 | — | — | 1–10 | $167 – $167 |
| 2 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 3 | Appalachian Regional Behavioral Health Hospital Linville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 4 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 2 | $80 | $80 | $69 | 86% | — | $11 – $149 |
| 5 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 6 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 7 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 8 | Blue Ridge HealthCare Hospitals, Inc Valdese, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 9 | Caldwell Memorial Hospital Lenoir, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 10 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 11 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 12 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 13 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 14 | Chambersburg Hospital Chambersburg, PA fee schedule · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 15 | Charles A. Cannon Jr. Memorial Hospital, Inc Cannon, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 16 | Chatham Hospital Siler City, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 17 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 18 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 19 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 20 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 21 | Ephrata Community Hospital Ephrata, PA fee schedule · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 22 | Gettysburg Hospital Gettysburg, PA fee schedule · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 23 | Good Samaritan Hospital Lebanon, PA fee schedule · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 24 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA other · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 25 | HOSPITAL SERVICE DISTRICT OF THE PARISH OF ST. BERNARD, STATE OF LOUISIANA Chalmette, LA other · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
← Payers reporting CPT 90653 · Snapshot 20261111T120946Z-9134e7f7