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
$12
Median
$11
High
$171
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
117 hospitals; the 90th percentile is 2.3× 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.
Filter by billing methodology
Filter by billing class
134 hospital rates
iThe hospitals that file a WellCare 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 | $16 | $16 | — | — | — | $16 – $16 |
| 2 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $12 | $12 | $0 | 2% | — | $12 – $12 |
| 3 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 4 | Aiken Regional Medical Centers North Augusta, SC fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 5 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 6 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 7 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 2 | $11 | $11 | $1 | 6% | — | $10 – $11 |
| 8 | BRONXCARE HEALTH SYSTEM Bronx, NY other · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 9 | BRONXCARE HEALTH SYSTEM Bronx, NY other · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 10 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 11 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 12 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · inpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 13 | Calais Community Hospital Calais, ME percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 14 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 15 | Carle Eureka Hospital Eureka, IL case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 16 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 17 | Columbus Regional Healthcare System, Inc Whiteville, NC fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 18 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 19 | Deaconess Health System Gibson General Hospital Princeton, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $9 | $9 | — | — | — | $9 – $9 |
| 20 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 3 | $0 | $4 | $5 | 141% | — | $0 – $11 |
| 21 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 4 | $0 | $5 | $7 | 123% | — | $0 – $18 |
| 22 | Deaconess Health System Union County Hospital Morganfield, KY facility · percent of total billed charges · outpatientfrom % of charges | 4 | $9 | $11 | $3 | 24% | — | $9 – $16 |
| 23 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 4 | $0 | $5 | $7 | 123% | — | $0 – $18 |
| 24 | Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 25 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 3 | $0 | $4 | $6 | 148% | — | $0 – $18 |
← Payers reporting CPT 90657 · Snapshot 20261113T090226Z-3ce6c0b8