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
$148
Median
$104
High
$18k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1210 hospitals; the 90th percentile is 4.0× 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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1,726 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $116 | $116 | — | — | 2,602–2,611 | $116 – $116 |
| 2 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 2 | $72 | $129 | $116 | 90% | 1,330 | $14 – $303 |
| 3 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $84 | — | — | 1,156 | $84 – $84 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $80 | $85 | $11 | 13% | 702 | $74 – $100 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · percent of total billed charges · outpatientfrom % of charges | 2 | $183 | $183 | — | — | 702 | $183 – $183 |
| 6 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $89 | $87 | $8 | 9% | 588–597 | $76 – $96 |
| 7 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $167 | $167 | — | — | 502–511 | $167 – $167 |
| 8 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | 480 | $80 – $80 |
| 9 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 1 | $28 | $28 | $0 | 0% | 349 | $28 – $28 |
| 10 | Mercy Health Services-Iowa Corp. Mason City, IA facility · percent of total billed charges · bothfrom % of charges | 3 | $91 | $118 | $92 | 78% | 221 | $27 – $303 |
| 11 | Tufts Medical Center BOSTON, MA other · both | 3 | $202 | $296 | $109 | 37% | 187–214 | $202 – $422 |
| 12 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $24 | $26 | $2 | 7% | 130–148 | $24 – $28 |
| 13 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 1 | $30 | $30 | — | — | 127 | $30 – $30 |
| 14 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 3 | $231 | $217 | $77 | 36% | 94–103 | $116 – $303 |
| 15 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $156 | $146 | $19 | 13% | 85 | $113 – $158 |
| 16 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $71 | $71 | — | — | 79 | $71 – $71 |
| 17 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 4 | $180 | $222 | $74 | 33% | 76 | $147 – $420 |
| 18 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 1 | $38 | $38 | — | — | 69 | $38 – $38 |
| 19 | Mount Carmel East Reynoldsburg, OH professional · fee schedule · both | 1 | $86 | $86 | — | — | 66 | $86 – $86 |
| 20 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 3 | $140 | $140 | — | — | 54–72 | $140 – $140 |
| 21 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $75 | $75 | — | — | 52 | $75 – $75 |
| 22 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 1 | $27 | $27 | — | — | 44 | $27 – $27 |
| 23 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 1 | $138 | $138 | — | — | 43 | $138 – $138 |
| 24 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $167 | $167 | — | — | 41–59 | $167 – $167 |
| 25 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $150 | $141 | $17 | 12% | 40 | $111 – $152 |
← Payers reporting CPT 90653 · Snapshot 20261112T124536Z-e251e855