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
$86
Median
$33
High
$1.2k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
107 hospitals; the 90th percentile is 29.8× 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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156 hospital rates
iThe hospitals that file a MultiPlan 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 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 2 | Aiken Regional Medical Centers North Augusta, SC percent of total billed charges · bothfrom % of charges | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 3 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 4 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 5 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 6 | Bronson Battle Creek Hospital Battle Creek, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 7 | Bronson Battle Creek Hospital Battle Creek, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 8 | Bronson Battle Creek Hospital Battle Creek, MI professional · fee schedule · both | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 9 | Bronson LakeView Hospital Paw Paw, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 10 | Bronson LakeView Hospital Paw Paw, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 11 | Bronson Methodist Hospital Kalamazoo, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 12 | Bronson Methodist Hospital Kalamazoo, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 13 | Bronson South Haven Hospital South Haven, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 14 | Bronson South Haven Hospital South Haven, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 15 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO percent of total billed charges · outpatientfrom % of charges | 3 | $327 | $314 | $33 | 10% | — | $270 – $347 |
| 16 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 17 | Childrens Hospital of Los Angeles Angeles, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 18 | Childrens Hospital of Los Angeles Angeles, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 19 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 20 | Childrens Hospital of Orange County - Profit Orange, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 21 | Childrens Hospital of Orange County - Profit Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 22 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 23 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 24 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 25 | Deaconess Health System Henderson Hospital Henderson, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
← Payers reporting CPT 90657 · Snapshot 20261113T090226Z-3ce6c0b8