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 Preservative Free 0.5 Ml Dosage Im Use
The hospitals that file a Bcbs Tx 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.
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35 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 5 | $89.64 | $27.39 – $115.84 |
| 2 | CHRISTUS Health - Pine Street Texarkana, TX fee schedule · outpatient | 5 | $82.33 | $73.99 – $90.32 |
| 3 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 5 | $84.06 | $66.34 – $97.30 |
| 4 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 5 | $84.06 | $66.34 – $97.30 |
| 5 | Chambers Health Anahuac, TX percent of total billed charges · outpatientfrom % of charges | 2 | $11.50 | $10.00 – $13.00 |
| 6 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 5 | $84.06 | $66.34 – $97.30 |
| 7 | Christus Health Southeast Texas Port Arthur, TX fee schedule · outpatient | 5 | $84.06 | $66.34 – $97.30 |
| 8 | Cogdell Memorial Hospital dba Cogdell Memorial Hospital Snyder, TX fee schedule · outpatient | 1 | $32.00 | $32.00 – $32.00 |
| 9 | Cogdell Memorial Hospital dba Cogdell Memorial Hospital Snyder, TX percent of total billed charges · outpatientfrom % of charges | 2 | $42.00 | $42.00 – $42.00 |
| 10 | Good Shepherd Medical Center - Longview Longview, TX fee schedule · outpatient | 5 | $89.64 | $27.39 – $115.84 |
| 11 | Good Shepherd Medical Center - Marshall Marshall, TX fee schedule · outpatient | 5 | $89.64 | $27.39 – $115.84 |
| 12 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · inpatientfrom % of charges | 4 | $109.51 | $5.03 – $744.88 |
| 13 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $112.77 | $5.31 – $744.88 |
| 14 | Hendrick Medical Center Brownwood, TX facility · percent of total billed charges · inpatientfrom % of charges | 4 | $282.32 | $16.45 – $1,234 |
| 15 | Hendrick Medical Center Brownwood, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $282.32 | $16.45 – $1,234 |
| 16 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · inpatientfrom % of charges | 4 | $109.51 | $5.03 – $744.88 |
| 17 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $112.77 | $5.31 – $744.88 |
| 18 | Mother Frances Hospital - Winnsboro Winnsboro, TX fee schedule · outpatient | 5 | $36.13 | $29.09 – $41.67 |
| 19 | Muleshoe Area Medical Center dba Muleshoe Area Medical Center Muleshoe, TX percent of total billed charges · outpatientfrom % of charges | 3 | $12.00 | $12.00 – $12.00 |
| 20 | Santa Rosa Emergency Center - Alon San Antonio, TX fee schedule · outpatient | 5 | $54.77 | $43.72 – $63.11 |
| 21 | Santa Rosa Emergency Center - Creekside New Braunfels, TX fee schedule · outpatient | 5 | $75.08 | $65.32 – $84.88 |
| 22 | Santa Rosa Hospital - Alamo Heights San Antonio, TX fee schedule · outpatient | 5 | $54.91 | $44.06 – $63.11 |
| 23 | Santa Rosa Hospital - New Braunfels New Braunfels, TX fee schedule · outpatient | 5 | $75.08 | $65.32 – $84.88 |
| 24 | Santa Rosa Hospital - San Marcos San Marcos, TX fee schedule · outpatient | 4 | $69.32 | $65.32 – $73.82 |
| 25 | Santa Rosa Hospital - Westover Hills San Antonio, TX fee schedule · outpatient | 5 | $54.77 | $43.72 – $63.11 |
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