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
$19
Average
$140
Median
$100
High
$308
Each hospital's average Magellan rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 4.2× 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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28 hospital rates
iThe hospitals that file a Magellan 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 3 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 4 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 5 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 6 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 7 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 8 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · percent of total billed charges · outpatientfrom % of charges | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 9 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $303 | $303 | — | — | — | $303 – $303 |
| 10 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · both | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 11 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · inpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 12 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 13 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 14 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 15 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 16 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 17 | Pocatello Hospital, LLC Pocatello, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 18 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 19 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 20 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $52 | $52 | $39 | 75% | — | $13 – $91 |
| 21 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 22 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 23 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $303 | $303 | — | — | — | $303 – $303 |
| 24 | St Mary Mercy Livonia Livonia, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $303 | $303 | — | — | — | $303 – $303 |
| 25 | St. Joseph's Mercy Hospital, Centerville Centerville, IA professional · fee schedule · inpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
← Payers reporting CPT 90653 · Snapshot 20261111T120946Z-9134e7f7