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
$15
Average
$103
Median
$103
High
$279
Each hospital's average Cigna Healthspring rate, under the methodology and billing class chosen below.
31 hospitals; the 90th percentile is 12.4× 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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39 hospital rates
iThe hospitals that file a Cigna Healthspring 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 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 2 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 3 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 4 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · inpatient | 2 | $26 | $26 | $0 | 0% | — | $26 – $26 |
| 5 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 2 | $26 | $26 | $0 | 0% | — | $26 – $26 |
| 6 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 7 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 8 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 9 | Columbus Regional Healthcare System, Inc Whiteville, NC fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 10 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 11 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 12 | Kemper CAH, Inc. DeKalb, MS other · outpatient | 1 | $266 | $266 | — | — | — | $266 – $266 |
| 13 | Laird Hospital, Inc. Union, MS other · outpatient | 1 | $279 | $279 | — | — | — | $279 – $279 |
| 14 | MEMORIAL HEALTH SYSTEM OF EAST TEXAS Lufkin, TX fee schedule · inpatient | 2 | $29 | $29 | $0 | 1% | — | $29 – $29 |
| 15 | MEMORIAL HEALTH SYSTEM OF EAST TEXAS Lufkin, TX fee schedule · outpatient | 2 | $29 | $29 | $0 | 1% | — | $29 – $29 |
| 16 | MEMORIAL HOSPITAL OF POLK COUNTY Livingston, TX fee schedule · inpatient | 2 | $32 | $32 | $0 | 1% | — | $32 – $32 |
| 17 | MEMORIAL HOSPITAL OF POLK COUNTY Livingston, TX fee schedule · outpatient | 2 | $32 | $32 | $0 | 1% | — | $32 – $32 |
| 18 | MEMORIAL MEDICAL CENTER SAN AUGUSTINE San Augustine, TX fee schedule · outpatient | 2 | $47 | $47 | $0 | 0% | — | $47 – $47 |
| 19 | Magee Rehabilitation Hospital Philadelphia, PA facility · fee schedule · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 20 | Rush Hospital/Butler, Inc. Butler, AL other · outpatient | 1 | $200 | $200 | — | — | — | $200 – $200 |
| 21 | Rush Medical Foundation Meridian, MS other · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 22 | Rush Medical Foundation Quitman, MS other · outpatient | 1 | $257 | $257 | — | — | — | $257 – $257 |
| 23 | ST LUKE'S LAKESIDE HOSPITAL, LLC The Woodlands, TX fee schedule · inpatient | 2 | $18 | $18 | $0 | 1% | — | $18 – $18 |
| 24 | ST LUKE'S LAKESIDE HOSPITAL, LLC The Woodlands, TX fee schedule · outpatient | 2 | $18 | $18 | $0 | 1% | — | $18 – $18 |
| 25 | ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND Sugar Land, TX fee schedule · inpatient | 2 | $55 | $55 | $0 | 1% | — | $55 – $56 |
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