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
$80
Median
$49
High
$5.9k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
550 hospitals; the 90th percentile is 5.0× 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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684 hospital rates
iThe hospitals that file a Humana 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 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $49 | $49 | — | — | 145 | $49 – $49 |
| 2 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 1 | $140 | $140 | — | — | 23 | $140 – $140 |
| 3 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · other · outpatient | 2 | $21 | $21 | $14 | 68% | 2–20 | $7 – $35 |
| 4 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $29 | $29 | — | — | 1–10 | $29 – $29 |
| 5 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | 1–10 | $33 – $33 |
| 6 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $59 | $59 | — | — | 1–10 | $59 – $59 |
| 7 | Piedmont Cartersville Cartersville, GA percent of total billed charges · bothfrom % of charges | 1 | $18 | $18 | — | — | 1–10 | $18 – $18 |
| 8 | Piedmont Eastside Snellville, GA percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | — | — | 1–10 | $21 – $21 |
| 9 | Piedmont Macon North Macon, GA percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | — | — | 1–10 | $21 – $21 |
| 10 | Samaritan Hospital Troy, NY professional · fee schedule · outpatient | 1 | $48 | $48 | — | — | 1–10 | $48 – $48 |
| 11 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | — | — | 1–10 | $63 – $63 |
| 12 | St Peters Hospital Albany, NY professional · fee schedule · outpatient | 1 | $48 | $48 | — | — | 1–10 | $48 – $48 |
| 13 | UNIVERSITY OF TEXAS HEALTH CENTER AT TYLER Tyler, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $62 | $62 | — | — | 1–10 | $62 – $62 |
| 14 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $74 | $74 | $23 | 31% | — | $51 – $97 |
| 15 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | $21 | 36% | — | $37 – $78 |
| 16 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 17 | AHS Henryetta Hospital, LLC Henryetta, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 18 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 4 | $57 | $57 | — | — | — | $57 – $57 |
| 19 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · inpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 20 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 21 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 22 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · inpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 23 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 24 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 25 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
← Payers reporting CPT 90661 · Snapshot 20261111T120946Z-9134e7f7