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
$0
Average
$118
Median
$95
High
$4.6k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
291 hospitals; the 90th percentile is 3.5× 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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464 hospital rates
iThe hospitals that file a Anthem 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 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $116 | — | — | 1,702 | $116 – $116 |
| 2 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $167 | $167 | — | — | 555–609 | $167 – $167 |
| 3 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | 308 | $76 – $76 |
| 4 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 6 | $56 | $72 | $18 | 25% | 297–351 | $56 – $96 |
| 5 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | 197 | $80 – $80 |
| 6 | ARH Tug Valley Health Services, Inc. Paintsville, KY other · outpatient | 1 | $418 | $418 | — | — | 55 | $418 – $418 |
| 7 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 2 | $140 | $140 | — | — | 51–60 | $140 – $140 |
| 8 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $65 | $65 | — | — | 46 | $65 – $65 |
| 9 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $167 | $167 | — | — | 42–60 | $167 – $167 |
| 10 | NATIONAL JEWISH HEALTH GOLDEN, CO percent of total billed charges · bothfrom % of charges | 1 | $58 | $58 | — | — | 24 | $58 – $58 |
| 11 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME percent of total billed charges · outpatientfrom % of charges | 2 | $71 | $71 | $16 | 23% | 18 | $54 – $87 |
| 12 | DIGNITY HEALTH Sacramento, CA fee schedule · outpatient | 6 | $122 | $118 | $77 | 65% | 6–60 | $11 – $287 |
| 13 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $86 | $90 | $5 | 5% | 6–60 | $86 – $96 |
| 14 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $83 | $87 | $7 | 9% | 5–50 | $74 – $96 |
| 15 | Harrison Community Hospital, Inc. Cadiz, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $64 | $69 | $7 | 10% | 3–30 | $64 – $79 |
| 16 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $86 | $90 | $5 | 5% | 2–20 | $86 – $96 |
| 17 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 1 | $86 | $86 | — | — | 2–20 | $86 – $86 |
| 18 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $167 | $167 | — | — | 2–20 | $167 – $167 |
| 19 | Pagosa Springs Medical Center Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | $37 | 99% | 2–20 | $0 – $74 |
| 20 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 1 | $25 | $25 | — | — | 2–20 | $25 – $25 |
| 21 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $132 | $132 | — | — | 2–20 | $132 – $132 |
| 22 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 2 | $71 | $71 | — | — | 1–10 | $71 – $71 |
| 23 | Barnesville Hospital Association, Inc. Barnesville, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | 1–10 | $68 – $68 |
| 24 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $23 | $23 | — | — | 1–10 | $23 – $23 |
| 25 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $116 | $116 | — | — | 1–10 | $116 – $116 |
← Payers reporting CPT 90653 · Snapshot 20261111T120946Z-9134e7f7