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 Carefirst 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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128 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $23.22 | $23.22 – $23.22 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 3 | $21.59 | $19.86 – $22.75 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $21.59 | $19.86 – $22.75 |
| 4 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $23.22 | $23.22 – $23.22 |
| 5 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $23.22 | $23.22 – $23.22 |
| 6 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 3 | $21.59 | $19.86 – $22.75 |
| 7 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 3 | $21.59 | $19.86 – $22.75 |
| 8 | Children's National Hospital Washington, DC professional · fee schedule · both | 1 | $26.82 | $26.82 – $26.82 |
| 9 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $23.22 | $23.22 – $23.22 |
| 10 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 3 | $21.59 | $19.86 – $22.75 |
| 11 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 3 | $21.59 | $19.86 – $22.75 |
| 12 | DOMINION HOSPITAL FALLS CHURCH, VA percent of total billed charges · outpatientfrom % of charges | 2 | $102.10 | $98.94 – $105.25 |
| 13 | Diley Ridge Medical Center Canal Winchester, OH facility · fee schedule · both | 1 | $34.83 | $34.83 – $34.83 |
| 14 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 2 | $52.81 | $51.46 – $55.75 |
| 15 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $105.18 | $100.84 – $108.16 |
| 16 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763.00 | $763.00 – $763.00 |
| 17 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 3 | $19.68 | $18.00 – $22.75 |
| 18 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 3 | $18.31 | $16.54 – $22.75 |
| 19 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $105.99 | $101.32 – $109.15 |
| 20 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $71.00 | $71.00 – $71.00 |
| 21 | Inova Alexandria Hospital Alexandria, VA fee schedule · both | 2 | $34.78 | $34.78 – $34.78 |
| 22 | Inova Fair Oaks Hospital Fairfax, VA fee schedule · both | 2 | $34.78 | $34.78 – $34.78 |
| 23 | Inova Fairfax Hospital Falls Church, VA fee schedule · both | 2 | $34.78 | $34.78 – $34.78 |
| 24 | Inova Loudoun Hospital Leesburg, VA fee schedule · both | 2 | $34.78 | $34.78 – $34.78 |
| 25 | Inova Mount Vernon Hospital Alexandria, VA fee schedule · both | 2 | $34.78 | $34.78 – $34.78 |
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