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
$38
Average
$110
Median
$98
High
$214
Each hospital's average Premera rate, under the methodology and billing class chosen below.
54 hospitals; the 90th percentile is 2.2× 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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85 hospital rates
iThe hospitals that file a Premera 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 | FRANCISCAN HEALTH SYSTEM Gig Harbor, WA fee schedule · outpatient | 3 | $89 | $87 | $32 | 36% | 1–10 | $48 – $125 |
| 2 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $86 | $86 | — | — | 1–10 | $86 – $86 |
| 3 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $167 | $167 | — | — | 1–10 | $167 – $167 |
| 4 | SAINT CLARE HOSPITAL Lakewood, WA fee schedule · outpatient | 3 | $89 | $83 | $38 | 46% | 1–10 | $34 – $125 |
| 5 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $63 | $66 | $4 | 6% | 1–10 | $63 – $71 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 7 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 8 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 9 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 10 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 11 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 12 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 13 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 4 | $89 | $79 | $20 | 26% | — | $30 – $89 |
| 14 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 15 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 16 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 17 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 2 | $88 | $88 | $38 | 43% | — | $50 – $125 |
| 18 | FRANCISCAN HEALTH SYSTEM Gig Harbor, WA fee schedule · inpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 19 | FRANCISCAN HEALTH SYSTEM Tacoma, WA fee schedule · inpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 20 | FRANCISCAN HEALTH SYSTEM Tacoma, WA fee schedule · outpatient | 3 | $89 | $83 | $38 | 46% | — | $34 – $125 |
| 21 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $113 | $116 | $14 | 12% | — | $100 – $138 |
| 22 | HARRISON MEDICAL CENTER Silverdale, WA fee schedule · inpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 23 | HARRISON MEDICAL CENTER Silverdale, WA fee schedule · outpatient | 3 | $110 | $109 | $41 | 38% | — | $59 – $159 |
| 24 | HIGHLINE MEDICAL CENTER Burien, WA fee schedule · inpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 25 | HIGHLINE MEDICAL CENTER Burien, WA fee schedule · outpatient | 3 | $99 | $88 | $23 | 26% | — | $56 – $110 |
← Payers reporting CPT 90653 · Snapshot 20261111T120946Z-9134e7f7