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 Medical Mutual 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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215 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $16.60 | $16.60 – $16.60 |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $14.71 | $9.02 – $16.60 |
| 3 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $23.22 | $23.22 – $23.22 |
| 4 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $9.98 | $9.98 – $9.98 |
| 5 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $11.90 | $9.98 – $13.82 |
| 6 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $40.00 | $40.00 – $40.00 |
| 7 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $40.00 | $40.00 – $40.00 |
| 8 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $40.00 | $40.00 – $40.00 |
| 9 | Barnesville Hospital Association, Inc. Barnesville, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $34.86 | $34.86 – $34.86 |
| 10 | Bay Park Community Hospital Oregon, OH facility · other · outpatient | 1 | $48.82 | $48.82 – $48.82 |
| 11 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $18.05 | $18.05 – $18.05 |
| 12 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 2 | $40.57 | $30.40 – $50.73 |
| 13 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $25.51 | $25.51 – $25.51 |
| 14 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $57.44 | $39.60 – $93.12 |
| 15 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $23.33 | $11.10 – $35.55 |
| 16 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $22.75 | $22.75 – $22.75 |
| 17 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $22.75 | $22.75 – $22.75 |
| 18 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $23.33 | $11.10 – $35.55 |
| 19 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $22.08 | $22.08 – $22.08 |
| 20 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $22.75 | $22.75 – $22.75 |
| 21 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $22.75 | $22.75 – $22.75 |
| 22 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $102.76 | $102.76 – $102.76 |
| 23 | Cookeville Regional Medical Center Cookeville, TN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $43.35 | $43.35 – $43.35 |
| 24 | Cookeville Regional Medical Center Cookeville, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $43.35 | $43.35 – $43.35 |
| 25 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $82.06 | $82.06 – $82.06 |
← Payers reporting CPT 90656 · Snapshot 20261108T203506Z-bb90dbab