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
Fluzone 2025-2026 Formula PFS
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$209
Median
$32
High
$23.9k
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 147 hospitals; the 90th percentile is 9.5× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $7 | $11 | $7 | 59% | 3–30 | $6 – $20 |
| 2 | Tufts Medical Center BOSTON, MA | $142 | $142 | — | — | 3–30 | $142 – $142 |
| 3 | Lake Charles Memorial Hospital Charles, LA | $20 | $20 | — | — | 2–20 | $20 – $20 |
| 4 | St. Mary's Health, Inc. Evansville, IN | $44 | $44 | $5 | 12% | — | $39 – $49 |
| 5 | Laird Hospital, Inc. Union, MS | $10 | $10 | $1 | 6% | — | $8 – $11 |
| 6 | Stonewall Memorial Hospital 79502, TX | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI | $55 | $55 | — | — | — | $55 – $55 |
| 8 | Henry Ford Health Novi, MI | $44 | $38 | $11 | 28% | — | $22 – $51 |
| 9 | St. Vincent's Medical Center-Clay County, Inc. Middleburg, FL | $27 | $27 | — | — | — | $27 – $27 |
| 10 | St. Luke's-St. Vincent's Healthcare, Inc. Jacksonville, FL | $27 | $27 | — | — | — | $27 – $27 |
Ask Claude or any MCP client for CPT 90658 pricing at a specific hospital — see how to connect.