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
$7
Average
$1.1k
Median
$26
High
$17.5k
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29 hospital rates
iThe hospitals that file a Oscar 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 | Fairfield Medical Center 401 N Ewing St facility · per diem · outpatient | 1 | $17.5k | $17.5k | — | — | — | $17.5k – $17.5k |
| 2 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 2 | $15 | $15 | $4 | 26% | — | $11 – $19 |
| 3 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 4 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · other · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 5 | St Luke's Hospital - Allentown Campus Allentown, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 6 | St Luke's Hospital - Allentown Campus Allentown, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 7 | St Luke's Hospital - Anderson Campus Easton, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 8 | St Luke's Hospital - Anderson Campus Easton, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 9 | St Luke's Hospital - Bethlehem Campus Bethlehem, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 10 | St Luke's Hospital - Bethlehem Campus Bethlehem, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 11 | St Luke's Hospital - Carbon Campus Lehighton, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 12 | St Luke's Hospital - Carbon Campus Lehighton, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 13 | St Luke's Hospital - Easton Campus Easton, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 14 | St Luke's Hospital - Easton Campus Easton, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 15 | St Luke's Hospital - Lehighton Campus Lehighton, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 16 | St Luke's Hospital - Lehighton Campus Lehighton, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 17 | St Luke's Hospital - Miners Campus Coaldale, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 18 | St Luke's Hospital - Miners Campus Coaldale, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 19 | St Luke's Hospital - Monroe Campus Stroudsburg, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 20 | St Luke's Hospital - Monroe Campus Stroudsburg, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 21 | St Luke's Hospital - Sacred Heart Campus Allentown, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 22 | St Luke's Hospital - Sacred Heart Campus Allentown, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 23 | St Luke's Hospital - Upper Bucks Campus Quakertown, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 24 | St Luke's Hospital - Upper Bucks Campus Quakertown, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 25 | St Luke's Warren Hospital Phillipsburg, NJ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
← Payers reporting CPT 90655 · Snapshot 20261113T090226Z-3ce6c0b8