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
$79
Median
$54
High
$4.7k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
632 hospitals; the 90th percentile is 4.9× 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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864 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | — | — | 96–195 | $63 – $63 |
| 2 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 6 | $69 | $62 | $10 | 16% | 61–106 | $49 – $69 |
| 3 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | 34 | $37 – $37 |
| 4 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $49 | $49 | — | — | 21–57 | $49 – $49 |
| 5 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | 12 | $35 – $35 |
| 6 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 6 | $69 | $62 | $10 | 16% | 9–90 | $49 – $69 |
| 7 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 3 | $49 | $54 | $16 | 31% | 6–60 | $35 – $77 |
| 8 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 3 | $49 | $54 | $16 | 31% | 6–60 | $35 – $77 |
| 9 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | — | — | 4–40 | $63 – $63 |
| 10 | Brunswick Community Hospital, LLC Bolivia, NC percent of total billed charges · outpatientfrom % of charges | 3 | $5 | $4 | $1 | 40% | 3–30 | $2 – $5 |
| 11 | Eisenhower Medical Center Rancho Mirage, CA percent of total billed charges · inpatientfrom % of charges | 3 | $124 | $112 | $17 | 15% | 2–20 | $87 – $124 |
| 12 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · outpatientfrom % of charges | 4 | $47 | $49 | $5 | 10% | 2–20 | $45 – $56 |
| 13 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $45 | $46 | $1 | 2% | 2–20 | $45 – $47 |
| 14 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $47 | $52 | $13 | 24% | 2–20 | $45 – $80 |
| 15 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $46 | $53 | $14 | 26% | 2–20 | $45 – $80 |
| 16 | Essentia Health St. Mary's Medical Center Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $46 | $53 | $14 | 26% | 2–20 | $45 – $80 |
| 17 | Essentia Health Virginia 901 9th St N Virginia, MN facility · percent of total billed charges · outpatientfrom % of charges | 5 | $48 | $53 | $12 | 23% | 2–20 | $45 – $80 |
| 18 | Medical Park Hospital LLC Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 2 | $5 | $5 | — | — | 2–20 | $5 – $5 |
| 19 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 50 | $145 | $142 | $7 | 5% | 2–20 | $116 – $145 |
| 20 | Novant Health Mint Hill Medical Center, LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $6 | $6 | — | — | 2–20 | $6 – $6 |
| 21 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 2 | $30 | $30 | — | — | 2–20 | $30 – $30 |
| 22 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 2 | $83 | $83 | $0 | 0% | 2–20 | $83 – $83 |
| 23 | The Carle Foundation Hospital Urbana, IL other · outpatient | 1 | $17 | $17 | — | — | 2–20 | $17 – $17 |
| 24 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $3 | $3 | — | — | 2–20 | $3 – $3 |
| 25 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 3 | $44 | $44 | — | — | 1–10 | $44 – $44 |
← Payers reporting CPT 90661 · Snapshot 20261111T120946Z-9134e7f7