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 Wellmark 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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246 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $27.00 | $27.00 – $27.00 |
| 2 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 2 | $22.35 | $22.35 – $22.35 |
| 3 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 2 | $22.35 | $22.35 – $22.35 |
| 4 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $25.65 | $25.65 – $25.65 |
| 5 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 2 | $22.35 | $22.35 – $22.35 |
| 6 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $23.68 | $23.68 – $23.68 |
| 7 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $22.35 | $22.35 – $22.35 |
| 8 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · outpatient | 3 | $22.35 | $22.35 – $22.35 |
| 9 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $151.07 | $50.60 – $225.01 |
| 10 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $151.07 | $50.60 – $225.01 |
| 11 | Avera Behavioral Health Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $22.35 | $22.35 – $22.35 |
| 12 | Avera Creighton Hospital Creighton, NE inpatient | 1 | $24.00 | $24.00 – $24.00 |
| 13 | Avera Creighton Hospital Creighton, NE percent of total billed charges · inpatientfrom % of charges | 1 | $22.09 | $22.09 – $22.09 |
| 14 | Avera Creighton Hospital Creighton, NE percent of total billed charges · outpatientfrom % of charges | 1 | $22.09 | $22.09 – $22.09 |
| 15 | Avera DeSmet De Smet, SD outpatient | 1 | $22.35 | $22.35 – $22.35 |
| 16 | Avera DeSmet De Smet, SD percent of total billed charges · inpatientfrom % of charges | 1 | $16.56 | $16.32 – $16.79 |
| 17 | Avera DeSmet De Smet, SD percent of total billed charges · outpatientfrom % of charges | 1 | $16.56 | $16.32 – $16.79 |
| 18 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · inpatientfrom % of charges | 1 | $18.80 | $18.80 – $18.80 |
| 19 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · outpatientfrom % of charges | 1 | $18.80 | $18.80 – $18.80 |
| 20 | Avera Gregory Hospital Gregory, SD inpatient | 1 | $9.80 | $9.80 – $9.80 |
| 21 | Avera Gregory Hospital Gregory, SD outpatient | 1 | $22.35 | $22.35 – $22.35 |
| 22 | Avera Gregory Hospital Gregory, SD percent of total billed charges · inpatientfrom % of charges | 1 | $20.68 | $20.68 – $20.68 |
| 23 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $20.68 | $20.68 – $20.68 |
| 24 | Avera Hand County Hospital Miller, SD percent of total billed charges · inpatientfrom % of charges | 1 | $19.51 | $19.51 – $19.51 |
| 25 | Avera Hand County Hospital Miller, SD percent of total billed charges · outpatientfrom % of charges | 1 | $19.51 | $19.51 – $19.51 |
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