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
$19
Average
$44
Median
$49
High
$86
Each hospital's average Clover rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 2.7× 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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29 hospital rates
iThe hospitals that file a Clover 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 | Piedmont Fayette Fayetteville, GA percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | — | — | 1–10 | $25 – $25 |
| 2 | Capital Health System Inc Trenton, NJ case rate · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 3 | Capital Health System Inc Browns Mills, NJ case rate · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 4 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 5 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 6 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 7 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 8 | Hackensack Meridian at Pascack Valley Westwood, NJ facility · percent of total billed charges · bothfrom % of charges | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 9 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 10 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 11 | Inspira Health Center Bridgeton Bridgeton, NJ fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 12 | Inspira Health Center Woodbury Woodbury, NJ fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 13 | Inspira Medical Center Elmer Elmer, NJ fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 14 | Inspira Medical Center Mannington Salem, NJ fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 15 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 16 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 17 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 18 | Navicent Health Baldwin Inc Milledgeville, GA fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 19 | Piedmont Atlanta Atlanta, GA percent of total billed charges · bothfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 20 | Piedmont Cartersville Cartersville, GA percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 21 | Piedmont Columbus Regional - Northside Columbus, GA percent of total billed charges · bothfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 22 | Piedmont Eastside Snellville, GA percent of total billed charges · bothfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 23 | Piedmont Macon Macon, GA percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 24 | Piedmont Macon North Macon, GA percent of total billed charges · bothfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 25 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
← Payers reporting CPT 90661 · Snapshot 20261111T120946Z-9134e7f7