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
$138
Median
$107
High
$4.7k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
717 hospitals; the 90th percentile is 3.9× 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.
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988 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $86 | $90 | $5 | 5% | 172–262 | $86 – $96 |
| 2 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $93 | $101 | $10 | 10% | 170 | $92 – $113 |
| 3 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 3 | $66 | $121 | $92 | 76% | 163–199 | $14 – $215 |
| 4 | Tufts Medical Center BOSTON, MA other · both | 1 | $202 | $275 | $104 | 38% | 117 | $202 – $422 |
| 5 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $93 | $113 | $28 | 24% | 80 | $90 – $157 |
| 6 | Essentia Health St. Mary's Medical Center Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $93 | $113 | $28 | 24% | 80 | $90 – $157 |
| 7 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | — | — | 76 | $93 – $93 |
| 8 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $93 | $109 | $26 | 24% | 74 | $92 – $157 |
| 9 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $104 | $104 | — | — | 71 | $104 – $104 |
| 10 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | 65 | $87 – $87 |
| 11 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 2 | $294 | $294 | $76 | 26% | 64 | $218 – $371 |
| 12 | WakeMed Cary Hospital Cary, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $206 | $248 | $71 | 29% | 64 | $191 – $349 |
| 13 | Wakemed Raleigh Campus Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $206 | $248 | $71 | 29% | 64 | $191 – $349 |
| 14 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · outpatientfrom % of charges | 4 | $109 | $102 | $9 | 9% | 54 | $92 – $111 |
| 15 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $83 | $86 | $7 | 9% | 45–135 | $74 – $96 |
| 16 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $116 | — | — | 35 | $116 – $116 |
| 17 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $167 | $167 | — | — | 35–125 | $167 – $167 |
| 18 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $56 | $71 | $18 | 25% | 32–86 | $56 – $96 |
| 19 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 1 | $116 | $116 | — | — | 31 | $116 – $116 |
| 20 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 3 | $86 | $90 | $5 | 5% | 29–83 | $86 – $96 |
| 21 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $116 | — | — | 19 | $116 – $116 |
| 22 | MELROSEWAKEFIELD HEALTHCARE Medford, MA other · both | 1 | $312 | $312 | $110 | 35% | 17–26 | $202 – $422 |
| 23 | Trinity Health Grand Haven Hospital Grand Haven, MI facility · fee schedule · both | 1 | $74 | $74 | — | — | 14 | $74 – $74 |
| 24 | Benefis Hospitals Inc Helena, MT percent of total billed charges · outpatientfrom % of charges | 3 | $109 | $127 | $77 | 61% | 13–22 | $40 – $270 |
| 25 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $107 | $107 | — | — | 12 | $107 – $107 |
← Payers reporting CPT 90653 · Snapshot 20261111T120946Z-9134e7f7