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 vaccine splt 0.5 ml im
Low
$3
Average
$67
Median
$22
High
$5.9k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
438 hospitals; the 90th percentile is 5.4× 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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521 hospital rates
iThe hospitals that file a Humana 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 | New Liberty Hospital Corporation Liberty, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | 353 | $35 – $35 |
| 2 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · other · outpatient | 1 | $6 | $6 | — | — | 1–10 | $6 – $6 |
| 3 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 4 | $25 | $25 | — | — | — | $25 – $25 |
| 4 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $23 | $23 | — | — | — | $23 – $23 |
| 5 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 6 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 7 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 8 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 9 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 10 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 2 | $26 | $26 | $3 | 13% | — | $22 – $29 |
| 11 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 3 | $22 | $24 | $4 | 16% | — | $20 – $29 |
| 12 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 13 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 14 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 15 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 16 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 17 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 18 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 19 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 20 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 21 | Benson Hospital Corporation Benson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 22 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 23 | Blessing Hospital Quincy, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 24 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 25 | Blessing Hospital Quincy, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
← Payers reporting CPT 90658 · Snapshot 20261112T181611Z-3fa9fb76