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
$6
Average
$56
Median
$29
High
$763
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46 hospital rates
iThe hospitals that file a Kaiser 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 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO percent of total billed charges · outpatientfrom % of charges | 5 | $10 | $13 | $4 | 29% | — | $10 – $17 |
| 2 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 1 | $50 | $50 | $1 | 2% | — | $49 – $51 |
| 3 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 4 | Corona Regional Medical Center Corona, CA fee schedule · both | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 5 | Corona Regional Medical Center Corona, CA percent of total billed charges · bothfrom % of charges | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 6 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · inpatient | 1 | $50 | $50 | $1 | 2% | — | $49 – $51 |
| 7 | HCA HEALTHONE AURORA Aurora, CO percent of total billed charges · outpatientfrom % of charges | 5 | $10 | $13 | $4 | 29% | — | $10 – $17 |
| 8 | HCA HEALTHONE BELMAR ER LAKEWOOD, CO percent of total billed charges · outpatientfrom % of charges | 5 | $14 | $17 | $4 | 22% | — | $14 – $23 |
| 9 | HCA HEALTHONE CENTRAL PARK ER DENVER, CO percent of total billed charges · outpatientfrom % of charges | 4 | $30 | $31 | $3 | 11% | — | $27 – $36 |
| 10 | HCA HEALTHONE ROSE Denver, CO percent of total billed charges · outpatientfrom % of charges | 4 | $30 | $31 | $3 | 11% | — | $27 – $36 |
| 11 | HCA HEALTHONE SKY RIDGE Lone Tree, CO percent of total billed charges · outpatientfrom % of charges | 5 | $39 | $52 | $15 | 29% | — | $39 – $70 |
| 12 | HCA HEALTHONE SOUTH PARKER ER PARKER, CO percent of total billed charges · outpatientfrom % of charges | 5 | $39 | $52 | $15 | 29% | — | $39 – $70 |
| 13 | HCA HEALTHONE SOUTHWEST ER LITTLETON, CO percent of total billed charges · outpatientfrom % of charges | 5 | $14 | $17 | $4 | 22% | — | $14 – $23 |
| 14 | HCA HEALTHONE SWEDISH Englewood, CO percent of total billed charges · outpatientfrom % of charges | 5 | $14 | $17 | $4 | 22% | — | $14 – $23 |
| 15 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 16 | Jasper Health Services Monticello, GA percent of total billed charges · inpatientfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 17 | Jasper Health Services Monticello, GA percent of total billed charges · outpatientfrom % of charges | 2 | $74 | $74 | $11 | 15% | — | $62 – $85 |
| 18 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $26 | $34 | $13 | 39% | — | $23 – $52 |
| 19 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | $6 | 39% | — | $9 – $21 |
| 20 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 21 | Palmdale Regional Medical Center Palmdale, CA fee schedule · both | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 22 | Palmdale Regional Medical Center Palmdale, CA percent of total billed charges · bothfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 23 | Piedmont Athens Regional Athens, GA percent of total billed charges · bothfrom % of charges | 2 | $10 | $10 | $7 | 64% | — | $4 – $17 |
| 24 | Piedmont Augusta Augusta, GA percent of total billed charges · bothfrom % of charges | 2 | $15 | $15 | $8 | 52% | — | $7 – $23 |
| 25 | Piedmont Columbus Regional - Midtown Columbus, GA percent of total billed charges · bothfrom % of charges | 2 | $13 | $13 | $9 | 66% | — | $5 – $22 |
← Payers reporting CPT 90655 · Snapshot 20261113T090226Z-3ce6c0b8