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
$77
Median
$50
High
$2.2k
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
84 hospitals; the 90th percentile is 2.9× 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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102 hospital rates
iThe hospitals that file a Devoted 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 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 2 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 3 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 4 | $57 | $57 | — | — | — | $57 – $57 |
| 4 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 5 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 6 | Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 7 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 8 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 14 | Columbus Regional Healthcare System, Inc Whiteville, NC fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 15 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 16 | Dupont Hospital LLC Wayne, IN facility · fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 17 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR professional · fee schedule · outpatient | 4 | $57 | $57 | — | — | — | $57 – $57 |
| 18 | HSA CGH LLC Coral Gables, FL facility · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 19 | HSA PGH LLC Hialeah, FL facility · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 20 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 21 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 22 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 23 | IOM Health System LP Fort Wayne, IN facility · fee schedule · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 24 | Jefferson Health - Northeast Langhorne, PA facility · fee schedule · inpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 25 | Jefferson Health - Northeast Langhorne, PA facility · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
← Payers reporting CPT 90661 · Snapshot 20261111T120946Z-9134e7f7