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
$88
Median
$58
High
$879
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
735 hospitals; the 90th percentile is 6.4× 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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953 hospital rates
iThe hospitals that file a Cigna 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 | 2 | $47 | $42 | $16 | 38% | 109 | $19 – $57 |
| 2 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | — | — | 37 | $63 – $63 |
| 3 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 3 | $49 | $49 | $0 | 0% | 2–20 | $49 – $49 |
| 4 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 3 | $49 | $49 | $0 | 0% | 2–20 | $49 – $49 |
| 5 | The University of Texas Medical Branch Webster, TX percent of total billed charges · bothfrom % of charges | 2 | $12 | $11 | $3 | 27% | 2–20 | $7 – $14 |
| 6 | AHS Henryetta Hospital, LLC Henryetta, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $84 | $84 | $36 | 43% | 1–10 | $48 – $120 |
| 7 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 5 | $159 | $155 | $86 | 56% | 1–10 | $65 – $295 |
| 8 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | 1–10 | $42 – $42 |
| 9 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | 1–10 | $33 – $33 |
| 10 | Piedmont Atlanta Atlanta, GA percent of total billed charges · bothfrom % of charges | 2 | $132 | $132 | $22 | 17% | 1–10 | $110 – $154 |
| 11 | Piedmont Cartersville Cartersville, GA percent of total billed charges · bothfrom % of charges | 2 | $132 | $132 | $22 | 17% | 1–10 | $110 – $154 |
| 12 | Piedmont Columbus Regional - Midtown Columbus, GA percent of total billed charges · bothfrom % of charges | 4 | $8 | $8 | $1 | 14% | 1–10 | $7 – $10 |
| 13 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | — | — | 1–10 | $63 – $63 |
| 14 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | 1–10 | $40 – $40 |
| 15 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $250 | $250 | — | — | — | $250 – $250 |
| 16 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | $22 | 36% | — | $39 – $83 |
| 17 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 18 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 19 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $133 | $133 | $105 | 78% | — | $29 – $238 |
| 20 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 2 | $22 | $22 | — | — | — | $22 – $22 |
| 21 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 3 | $54 | $55 | $2 | 3% | — | $54 – $57 |
| 22 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 23 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 24 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 25 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $18 | $18 | $2 | 14% | — | $15 – $20 |
← Payers reporting CPT 90661 · Snapshot 20261111T120946Z-9134e7f7