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 Optum 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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315 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $47.17 | $36.25 – $58.08 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $7.93 | $7.93 – $7.93 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $56.37 | $42.28 – $84.56 |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $43.55 | $43.55 – $43.55 |
| 5 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $15.71 | $15.71 – $15.71 |
| 6 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $18.30 | $18.30 – $18.30 |
| 7 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $23.68 | $23.68 – $23.68 |
| 8 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $6.00 | $6.00 – $6.00 |
| 9 | Affinity Hospital LLC Birmingham, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $54.00 | $54.00 – $54.00 |
| 10 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $23.45 | $23.22 – $23.68 |
| 11 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 1 | $15.56 | $15.56 – $15.56 |
| 12 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $21.18 | $21.18 – $21.18 |
| 13 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $31.50 | $31.50 – $31.50 |
| 14 | Baylor University Medical Center Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $31.50 | $31.50 – $31.50 |
| 15 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $266.91 | $183.33 – $315.83 |
| 16 | Bluffton Health System LLC Bluffton, IN facility · per diem · outpatient | 1 | $35.23 | $35.23 – $35.23 |
| 17 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 3 | $8.42 | $0.65 – $17.58 |
| 18 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 3 | $8.42 | $0.65 – $17.58 |
| 19 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 3 | $8.42 | $0.65 – $17.58 |
| 20 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 3 | $8.42 | $0.65 – $17.58 |
| 21 | Boston Children's Hospital Boston, MA case rate · both | 1 | $9.68 | $9.68 – $9.68 |
| 22 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 3 | $8.42 | $0.65 – $17.58 |
| 23 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 3 | $8.42 | $0.65 – $17.58 |
| 24 | Boston Children's Hospital Waltham, MA percent of total billed charges · bothfrom % of charges | 3 | $8.42 | $0.65 – $17.58 |
| 25 | Boston Children's Hospital Needham, MA percent of total billed charges · bothfrom % of charges | 3 | $8.42 | $0.65 – $17.58 |
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