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 Medicaid 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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168 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $72.42 | $56.00 – $88.83 |
| 2 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $78.31 | $67.79 – $88.83 |
| 3 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $79.66 | $29.00 – $177.65 |
| 4 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $45.58 | $26.03 – $76.98 |
| 5 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $105.41 | $105.41 – $105.41 |
| 6 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $14.57 | $11.68 – $19.20 |
| 7 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $11.79 | $9.45 – $15.53 |
| 8 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $70.34 | $70.34 – $70.34 |
| 9 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $16.95 | $16.14 – $17.75 |
| 10 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $16.95 | $16.14 – $17.75 |
| 11 | Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient | 2 | $23.58 | $23.58 – $23.58 |
| 12 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 1 | $30.11 | $30.11 – $30.11 |
| 13 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $10.00 | $10.00 – $10.00 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $23.22 | $23.22 – $23.22 |
| 15 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $19.86 | $19.86 – $19.86 |
| 16 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $19.86 | $19.86 – $19.86 |
| 17 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $19.86 | $19.86 – $19.86 |
| 18 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $19.86 | $19.86 – $19.86 |
| 19 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $10.00 | $10.00 – $10.00 |
| 20 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 2 | $1.50 | $1.50 – $1.50 |
| 21 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $10.00 | $10.00 – $10.00 |
| 22 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $18.83 | $18.83 – $18.83 |
| 23 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $19.86 | $19.86 – $19.86 |
| 24 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $19.86 | $19.86 – $19.86 |
| 25 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 2 | $16.43 | $15.65 – $17.21 |
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