CPT 90654

Preservative-free flu shot given intradermally

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Flu vacc iiv3 no preserv id

Aetna pricing summary

Low

Average

$210

Median

$21

High

$13.9k

Aetna rate distribution

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147 hospital rates

#		Plans
1	AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient	2	$34	$34	$4	12%	—	$30 – $39
2	Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient	1	$42	$42	—	—	—	$42 – $42
3	Adena Health System Chillicothe, OH facility · fee schedule · outpatient	1	$43	$43	—	—	—	$43 – $43
4	Ascension St. Vincent Heart Center Carmel, IN other · outpatient	1	$0	$0	—	—	—	$0 – $0
5	Ascension Via Christi Rehabilitation Hospital, Inc. Wichita, KS fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
6	Berger Hospital Circleville, OH fee schedule · outpatient	1	$44	$44	—	—	—	$44 – $44
7	Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient	1	$43	$43	—	—	—	$43 – $43
8	Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient	1	$12	$12	—	—	—	$12 – $12
9	CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient	1	$21	$21	—	—	—	$21 – $21
10	CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · fee schedule · outpatient	3	$37	$35	$4	10%	—	$30 – $39
11	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · fee schedule · outpatient	2	$34	$34	$4	12%	—	$30 – $39
12	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · fee schedule · outpatient	3	$37	$35	$4	10%	—	$30 – $39
13	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · fee schedule · outpatient	3	$37	$35	$4	10%	—	$30 – $39
14	COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient	1	$38	$38	—	—	—	$38 – $38
15	Carmel AmbSurg Carmel, IN other · outpatient	1	$0	$0	—	—	—	$0 – $0
16	Cheshire Medical Center Keene, NH professional · fee schedule · outpatient	2	$21	$21	$4	18%	—	$17 – $25
17	Cleveland Clinic Mercy Hospital Canton, OH facility · fee schedule · outpatient	1	$39	$39	—	—	—	$39 – $39
18	Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient	1	$23	$23	—	—	—	$23 – $23
19	Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient	1	$43	$43	—	—	—	$43 – $43
20	Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient	1	$8	$8	—	—	—	$8 – $8
21	Covenant Medical Center Lubbock, TX fee schedule · outpatient	1	$107	$107	—	—	—	$107 – $107
22	Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both	1	$17	$17	—	—	—	$17 – $17
23	Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both	1	$17	$17	—	—	—	$17 – $17
24	Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both	2	$0	$0	$0	97%	—	$0 – $1
25	Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both	2	$0	$0	$0	97%	—	$0 – $1

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← Payers reporting CPT 90654 · Snapshot 20261113T090226Z-3ce6c0b8