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
$162
Median
$123
High
$3.5k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
756 hospitals; the 90th percentile is 4.4× 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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1,016 hospital rates
iThe hospitals that file a Cigna 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 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $84 | $84 | $0 | 0% | 80–89 | $84 – $84 |
| 2 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $230 | $193 | $52 | 27% | 25–43 | $119 – $230 |
| 3 | NATIONAL JEWISH HEALTH GOLDEN, CO percent of total billed charges · bothfrom % of charges | 2 | $48 | $48 | $9 | 18% | 14 | $39 – $57 |
| 4 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | — | — | 13 | $107 – $107 |
| 5 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | 11 | $32 – $32 |
| 6 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 1 | $273 | $280 | $147 | 52% | 3–30 | $105 – $464 |
| 7 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $165 | $165 | — | — | 2–20 | $165 – $165 |
| 8 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR percent of total billed charges · outpatientfrom % of charges | 1 | $197 | $197 | $132 | 67% | 2–20 | $65 – $329 |
| 9 | The University of Texas Medical Branch Webster, TX percent of total billed charges · bothfrom % of charges | 2 | $21 | $25 | $7 | 26% | 2–20 | $17 – $35 |
| 10 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $102 | $102 | — | — | 2–20 | $102 – $102 |
| 11 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $110 | $110 | — | — | 2–20 | $110 – $110 |
| 12 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $69 | $74 | $14 | 18% | 1–10 | $63 – $96 |
| 13 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | 1–10 | $80 – $80 |
| 14 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | — | — | 1–10 | $107 – $107 |
| 15 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 16 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $82 | — | — | 1–10 | $82 – $82 |
| 17 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $90 | $90 | $6 | 7% | 1–10 | $83 – $96 |
| 18 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $90 | $90 | $6 | 7% | 1–10 | $83 – $96 |
| 19 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $83 | $85 | $8 | 10% | 1–10 | $76 – $96 |
| 20 | Mount Carmel East Reynoldsburg, OH professional · fee schedule · both | 1 | $97 | $97 | — | — | 1–10 | $97 – $97 |
| 21 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $167 | $167 | — | — | 1–10 | $167 – $167 |
| 22 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 8 | $583 | $575 | $72 | 13% | 1–10 | $480 – $679 |
| 23 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 8 | $583 | $575 | $72 | 13% | 1–10 | $480 – $679 |
| 24 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $235 | $235 | — | — | 1–10 | $235 – $235 |
| 25 | UKIAH ADVENTIST HOSPITAL Ukiah, CA percent of total billed charges · outpatientfrom % of charges | 1 | $459 | $459 | — | — | 1–10 | $459 – $459 |
← Payers reporting CPT 90653 · Snapshot 20261111T120946Z-9134e7f7