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 Clover 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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85 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $6.06 | $6.06 – $6.06 |
| 2 | Capital Health System Inc Trenton, NJ case rate · outpatient | 1 | $23.22 | $23.22 – $23.22 |
| 3 | Capital Health System Inc Browns Mills, NJ case rate · outpatient | 1 | $23.22 | $23.22 – $23.22 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $22.75 | $22.75 – $22.75 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $22.75 | $22.75 – $22.75 |
| 6 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $22.75 | $22.75 – $22.75 |
| 7 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $22.75 | $22.75 – $22.75 |
| 8 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $23.68 | $23.68 – $23.68 |
| 9 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $23.22 | $23.22 – $23.22 |
| 10 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $22.75 | $22.75 – $22.75 |
| 11 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $22.75 | $22.75 – $22.75 |
| 12 | East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient | 1 | $16.27 | $16.27 – $16.27 |
| 13 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $23.92 | $23.92 – $23.92 |
| 14 | Foley Hospital Company LLC Foley, AL facility · fee schedule · outpatient | 1 | $13.07 | $13.07 – $13.07 |
| 15 | Gadsden Regional Medical Center LLC Gadsden, AL facility · fee schedule · outpatient | 1 | $15.51 | $15.51 – $15.51 |
| 16 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $19.78 | $19.78 – $19.78 |
| 17 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $24.38 | $24.38 – $24.38 |
| 18 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 1 | $22.75 | $22.75 – $22.75 |
| 19 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 1 | $22.75 | $22.75 – $22.75 |
| 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 | Inspira Health Center Bridgeton Bridgeton, NJ fee schedule · outpatient | 1 | $22.35 | $22.35 – $22.35 |
| 22 | Inspira Health Center Woodbury Woodbury, NJ fee schedule · outpatient | 1 | $22.35 | $22.35 – $22.35 |
| 23 | Inspira Medical Center Elmer Elmer, NJ fee schedule · outpatient | 1 | $22.35 | $22.35 – $22.35 |
| 24 | Inspira Medical Center Mannington Salem, NJ fee schedule · outpatient | 1 | $22.35 | $22.35 – $22.35 |
| 25 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $23.22 | $23.22 – $23.22 |
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