CPT 90658
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
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$225
Median
$29
High
$33.5k
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter below to change the chart. 397 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.
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | New Liberty Hospital Corporation Liberty, MO | $35 | $35 | — | — | 353 | $35 – $35 |
| 2 | Boston Medical Center Boston, MA | $17 | $19 | $4 | 24% | 51–105 | $12 – $29 |
| 3 | NYU Langone New York, NY | $100 | $109 | $61 | 56% | 3–30 | $2 – $333 |
| 4 | Tanner Medical Center - Villa Rica Villa Rica, GA | $40 | $38 | $4 | 9% | 3–30 | $33 – $41 |
| 5 | Tufts Medical Center BOSTON, MA | $69 | $58 | $25 | 43% | 3–30 | $0 – $142 |
| 6 | Massachusetts General Hospital Boston, MA | $9 | $9 | $0 | 3% | 2–20 | $9 – $10 |
| 7 | The Aroostook Medical Center Isle, ME | $29 | $29 | — | — | 1–10 | $29 – $29 |
| 8 | Eastern Maine Medical Center Bangor, ME | $29 | $29 | — | — | 1–10 | $29 – $29 |
| 9 | Virginia Mason Medical Center Seattle, WA | $16 | $21 | $10 | 47% | 1–10 | $13 – $44 |
| 10 | Newark Beth Israel Medical Center Newark, NJ | $44 | $44 | — | — | 1–10 | $44 – $44 |
Ask Claude or any MCP client for CPT 90658 pricing at a specific hospital — see how to connect.