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
PR Vaccine Cciiv3 Derived Frm Cell Culture Subunit Antibiotic Free 0.5ml Im
Low
$0
Average
$121
Median
$51
High
$17.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
708 hospitals; the 90th percentile is 6.8× 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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1,090 hospital rates
iThe hospitals that file a Aetna 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 | NATIONAL JEWISH HEALTH GOLDEN, CO percent of total billed charges · bothfrom % of charges | 1 | $38 | $38 | $12 | 32% | 49 | $26 – $50 |
| 2 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 4 | $65 | $65 | $16 | 25% | 37–46 | $49 – $81 |
| 3 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $30 | $30 | — | — | 4–40 | $30 – $30 |
| 4 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 4 | $65 | $65 | $16 | 25% | 3–30 | $49 – $81 |
| 5 | Boston Medical Center Brighton Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $86 | $79 | $11 | 14% | 2–20 | $64 – $86 |
| 6 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $71 | $69 | $15 | 22% | 2–20 | $52 – $84 |
| 7 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $71 | $69 | $15 | 22% | 2–20 | $52 – $84 |
| 8 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 25 | $193 | $198 | $25 | 13% | 2–20 | $193 – $322 |
| 9 | Piedmont Athens Regional Athens, GA percent of total billed charges · bothfrom % of charges | 1 | $15 | $15 | $13 | 87% | 2–20 | $2 – $27 |
| 10 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $37 | $37 | $13 | 34% | 2–20 | $24 – $50 |
| 11 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · inpatient | 4 | $74 | $74 | — | — | 1–10 | $74 – $74 |
| 12 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | 1–10 | $23 – $23 |
| 13 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | — | — | 1–10 | $19 – $19 |
| 14 | Piedmont Columbus Regional - Midtown Columbus, GA percent of total billed charges · bothfrom % of charges | 1 | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 15 | Piedmont Eastside Snellville, GA percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | — | — | 1–10 | $21 – $21 |
| 16 | Piedmont Fayette Fayetteville, GA percent of total billed charges · bothfrom % of charges | 1 | $24 | $24 | — | — | 1–10 | $24 – $24 |
| 17 | Piedmont Macon North Macon, GA percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | — | — | 1–10 | $21 – $21 |
| 18 | Piedmont Rockdale Conyers, GA percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | — | — | 1–10 | $25 – $25 |
| 19 | Quitman Hospital, LLC Quitman, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $45 | $45 | — | — | 1–10 | $45 – $45 |
| 20 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | 1–10 | $37 – $37 |
| 21 | UNIVERSITY OF TEXAS HEALTH CENTER AT TYLER Tyler, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $54 | $57 | $4 | 7% | 1–10 | $54 – $62 |
| 22 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | — | — | 1–10 | $43 – $43 |
| 23 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · inpatient | 1 | $233 | $233 | — | — | — | $233 – $233 |
| 24 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $165 | $165 | $68 | 41% | — | $97 – $233 |
| 25 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | $18 | 36% | — | $32 – $69 |
← Payers reporting CPT 90661 · Snapshot 20261111T120946Z-9134e7f7