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
Low
$0
Average
$171
Median
$34
High
$15.9k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
198 hospitals; the 90th percentile is 9.8× 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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217 hospital rates
iThe hospitals that file a Humana 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 | "Savoy Medical Management Group, Inc." Mamou, LA facility · fee schedule · outpatient | 2 | $13 | $13 | — | — | — | $13 – $13 |
| 2 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $27 | $27 | $9 | 31% | — | $19 – $36 |
| 3 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 4 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 5 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 2 | $25 | $25 | $7 | 27% | — | $18 – $32 |
| 6 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 7 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 8 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 9 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 10 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 11 | Bartow Regional Medical Center Bartow, FL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 12 | BayCare Alliant Hospital Dunedin, FL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 13 | Baycare Hospital Wesley Chapel Chapel, FL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 14 | Blessing Hospital Quincy, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 15 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 16 | Blessing Hospital Quincy, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 17 | Boone Memorial Hospital Madison, WV other · both | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 18 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $58 | $58 | $40 | 70% | — | $17 – $98 |
| 19 | CHRISTUS Health - Pine Street Texarkana, TX fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 20 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 21 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 22 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 1 | $70 | $70 | $2 | 2% | — | $69 – $72 |
| 23 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 24 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 25 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
← Payers reporting CPT 90655 · Snapshot 20261113T090226Z-3ce6c0b8