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
HC Iiv3 Vaccine Split Virus 0.25 Ml Dosage Im Use
Low
$0
Average
$95
Median
$14
High
$17.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
445 hospitals; the 90th percentile is 5.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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581 hospital rates
iThe hospitals that file a Aetna 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $26 | $26 | $11 | 41% | — | $15 – $37 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $22 | $22 | $3 | 12% | — | $20 – $25 |
| 4 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $11 | $11 | $0 | 2% | — | $11 – $11 |
| 5 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 6 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $15 | $15 | $4 | 27% | — | $11 – $19 |
| 7 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 8 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $18 | $18 | $6 | 37% | — | $11 – $24 |
| 9 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 10 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $8 | $8 | $0 | 1% | — | $8 – $9 |
| 11 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 4 | $21 | $20 | $7 | 37% | — | $11 – $27 |
| 12 | American Hospital Management Corporation Arcata, CA facility · case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 13 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 2 | $11 | $13 | $3 | 23% | — | $11 – $17 |
| 14 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 2 | $11 | $13 | $3 | 23% | — | $11 – $17 |
| 15 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 16 | Ascension St. Vincent Heart Center Carmel, IN other · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 17 | Ascension Via Christi Hospital Manhattan, Inc. Manhattan, KS fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 18 | Ascension Via Christi Rehabilitation Hospital, Inc. Wichita, KS fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 19 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 20 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 21 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 22 | Aurora BayCare Medical Center Green Bay, WI fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 23 | Aurora Lakeland Medical Center Elkhorn, WI fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 24 | Aurora Medical Center Bay Area Marinette, WI fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 25 | Aurora Medical Center Burlington Burlington, WI fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
← Payers reporting CPT 90657 · Snapshot 20261113T090226Z-3ce6c0b8