CPT 90655
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
IIV3 VACC NO PRSV 0.25 ML IM
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$292
Median
$19
High
$23.9k
Showing only prices reported under the other methodology. Choose another in the filter below to change the chart. 100 hospitals; the 90th percentile is 2251.3× 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.
Click a bar to filter the hospitals table to that price range.
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Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Mary's Health, Inc. Evansville, IN | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Stonewall Memorial Hospital 79502, TX | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI | $43 | $43 | — | — | — | $43 – $43 |
| 4 | Henry Ford Health Novi, MI | $44 | $37 | $12 | 32% | — | $19 – $51 |
| 5 | St. Vincent's Medical Center-Clay County, Inc. Middleburg, FL | $16 | $16 | — | — | — | $16 – $16 |
| 6 | St. Luke's-St. Vincent's Healthcare, Inc. Jacksonville, FL | $16 | $16 | — | — | — | $16 – $16 |
| 7 | Endo Surgery Center Carmel, IN | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Naab Road Surgery Center Indianapolis, IN | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Fairfield Medical Center Lancaster, OH | $23.9k | $23.9k | $5.8k | 25% | — | $18k – $29.7k |
| 10 | Nationwide Children's Hospital Columbus, OH | $15 | $15 | — | — | — | $15 – $15 |
Ask Claude or any MCP client for CPT 90655 pricing at a specific hospital — see how to connect.