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
$4
Average
$168
Median
$83
High
$23.9k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
308 hospitals; the 90th percentile is 9.3× 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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414 hospital rates
iThe hospitals that file a Molina 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | 21 | $37 – $37 |
| 2 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 2 | $69 | $99 | $90 | 90% | 20–29 | $15 – $243 |
| 3 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 3 | $96 | $108 | $17 | 16% | 20 | $96 – $133 |
| 4 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $167 | $167 | — | — | 19–28 | $167 – $167 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 6 | $96 | $91 | $12 | 13% | 2–20 | $74 – $102 |
| 6 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $96 | $108 | $17 | 16% | 2–20 | $96 – $133 |
| 7 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $167 | $167 | — | — | 2–20 | $167 – $167 |
| 8 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 1 | $6 | $6 | — | — | 2–20 | $6 – $6 |
| 9 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 2 | $45 | $64 | $58 | 90% | 2–20 | $10 – $158 |
| 10 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | 1–10 | $25 – $25 |
| 11 | Harrison Community Hospital, Inc. Cadiz, OH facility · other · outpatient | 1 | $20 | $20 | — | — | 1–10 | $20 – $20 |
| 12 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $128 | $128 | $21 | 17% | 1–10 | $107 – $150 |
| 13 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 2 | $114 | $114 | $18 | 16% | 1–10 | $96 – $133 |
| 14 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $121 | $121 | $17 | 14% | 1–10 | $104 – $138 |
| 15 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | 1–10 | $25 – $25 |
| 16 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 17 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 18 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 19 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 20 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 21 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 22 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $201 | $201 | — | — | — | $201 – $201 |
| 23 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 24 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $150 | $150 | $52 | 34% | — | $98 – $201 |
| 25 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
← Payers reporting CPT 90653 · Snapshot 20261111T120946Z-9134e7f7