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
$99
Median
$88
High
$1.2k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
103 hospitals; the 90th percentile is 5.3× 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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117 hospital rates
iThe hospitals that file a Medicare 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 | Eisenhower Medical Center Rancho Mirage, CA percent of total billed charges · inpatientfrom % of charges | 4 | $449 | $449 | — | — | 1,651–1,660 | $449 – $449 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $96 | $96 | — | — | 1,617 | $96 – $96 |
| 3 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | 1,609 | $76 – $76 |
| 4 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $167 | $167 | — | — | 1,121 | $167 – $167 |
| 5 | Benefis Hospitals Inc Helena, MT percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $58 | $25 | 44% | 1,077 | $40 – $94 |
| 6 | Tufts Medical Center BOSTON, MA other · both | 1 | $202 | $275 | $104 | 38% | 760 | $202 – $422 |
| 7 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 1 | $96 | $96 | — | — | 751 | $96 – $96 |
| 8 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 1 | $63 | $63 | — | — | 250–259 | $63 – $63 |
| 9 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $96 | $96 | — | — | 180 | $96 – $96 |
| 10 | MELROSEWAKEFIELD HEALTHCARE Medford, MA other · both | 1 | $202 | $275 | $104 | 38% | 162 | $202 – $422 |
| 11 | UNIVERSITY OF TEXAS HEALTH CENTER AT TYLER Tyler, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $114 | $114 | — | — | 109–118 | $114 – $114 |
| 12 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $167 | $167 | — | — | 71 | $167 – $167 |
| 13 | Benefis Community Hospitals, Inc Choteau, MT percent of total billed charges · bothfrom % of charges | 1 | $184 | $184 | — | — | 62 | $184 – $184 |
| 14 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 2 | $140 | $140 | — | — | 43–52 | $140 – $140 |
| 15 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 1 | $96 | $96 | — | — | 33 | $96 – $96 |
| 16 | Benefis Teton Medical Center Choteau, MT percent of total billed charges · bothfrom % of charges | 1 | $101 | $101 | — | — | 18 | $101 – $101 |
| 17 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $96 | $96 | — | — | 18 | $96 – $96 |
| 18 | Lowell General Hospital Lowell, MA other · both | 1 | $312 | $312 | $110 | 35% | 14–23 | $202 – $422 |
| 19 | Lovelace Health System, LLC Albuquerque, NM facility · percent of total billed charges · bothfrom % of charges | 4 | $50 | $50 | — | — | 1–10 | $50 – $50 |
| 20 | METHODIST SOUTH HOSPITAL MEMPHIS, TN percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | — | — | 1–10 | $57 – $57 |
| 21 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $132 | $132 | — | — | 1–10 | $132 – $132 |
| 22 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 23 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $32 | $32 | $2 | 5% | — | $30 – $33 |
| 24 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 25 | Allina Health Systems Ulm, MN facility · fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
← Payers reporting CPT 90653 · Snapshot 20261111T120946Z-9134e7f7