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
$13
Average
$106
Median
$98
High
$2.0k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
208 hospitals; the 90th percentile is 4.9× 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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237 hospital rates
iThe hospitals that file a WellCare 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 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | 1,038 | $76 – $76 |
| 2 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $82 | — | — | 97 | $82 – $82 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 2 | $86 | $86 | $12 | 14% | 57 | $74 – $98 |
| 4 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $53 | — | — | 30 | $53 – $53 |
| 5 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 1 | $101 | $101 | — | — | 17 | $101 – $101 |
| 6 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $64 | $64 | — | — | 14 | $64 – $64 |
| 7 | ARH Tug Valley Health Services, Inc. Paintsville, KY other · outpatient | 2 | $256 | $256 | $162 | 63% | 2–20 | $95 – $418 |
| 8 | St Josephs Hospital Health Center Syracuse, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $79 | $79 | $26 | 33% | 2–20 | $53 – $105 |
| 9 | Appalachian Regional Healthcare, Inc. Whitesburg, KY other · outpatient | 1 | $66 | $66 | — | — | 1–10 | $66 – $66 |
| 10 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | — | — | 1–10 | $100 – $100 |
| 11 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 2 | $86 | $86 | $12 | 14% | 1–10 | $74 – $98 |
| 12 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 2 | $88 | $88 | $12 | 14% | 1–10 | $76 – $100 |
| 13 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 1 | $101 | $101 | — | — | 1–10 | $101 – $101 |
| 14 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $90 | $90 | — | — | 1–10 | $90 – $90 |
| 15 | Tufts Medical Center BOSTON, MA other · both | 1 | $422 | $422 | — | — | 1–10 | $422 – $422 |
| 16 | WakeMed Cary Hospital Cary, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $61 | $145 | $122 | 84% | 1–10 | $57 – $317 |
| 17 | Wakemed Raleigh Campus Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $74 | $153 | $116 | 76% | 1–10 | $69 – $317 |
| 18 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $233 | $233 | — | — | — | $233 – $233 |
| 19 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $106 | $106 | $2 | 2% | — | $103 – $108 |
| 20 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $72 | $72 | — | — | — | $72 – $72 |
| 21 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $84 | $84 | $0 | 0% | — | $84 – $84 |
| 22 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 23 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 24 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 2 | $86 | $83 | $5 | 6% | — | $76 – $86 |
| 25 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 2 | $86 | $83 | $5 | 6% | — | $76 – $86 |
← Payers reporting CPT 90653 · Snapshot 20261111T120946Z-9134e7f7