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
$59
Median
$48
High
$1.1k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
85 hospitals; the 90th percentile is 6.0× 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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93 hospital rates
iThe hospitals that file a Medicare 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 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 1 | $140 | $140 | — | — | 26 | $140 – $140 |
| 2 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | — | — | 25 | $63 – $63 |
| 3 | UNIVERSITY OF TEXAS HEALTH CENTER AT TYLER Tyler, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $62 | $62 | — | — | 12 | $62 – $62 |
| 4 | Eisenhower Medical Center Rancho Mirage, CA percent of total billed charges · inpatientfrom % of charges | 4 | $186 | $186 | — | — | 2–20 | $186 – $186 |
| 5 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 4 | $58 | $58 | — | — | 1–10 | $58 – $58 |
| 6 | AHS Henryetta Hospital, LLC Henryetta, OK facility · percent of total billed charges · bothfrom % of charges | 4 | $48 | $48 | — | — | 1–10 | $48 – $48 |
| 7 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 4 | $65 | $65 | — | — | 1–10 | $65 – $65 |
| 8 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | 1–10 | $33 – $33 |
| 9 | Harrington Cancer Center Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 4 | $65 | $65 | — | — | 1–10 | $65 – $65 |
| 10 | Pocatello Hospital, LLC Pocatello, ID facility · percent of total billed charges · bothfrom % of charges | 4 | $48 | $48 | — | — | 1–10 | $48 – $48 |
| 11 | Quitman Hospital, LLC Quitman, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $44 | $44 | — | — | 1–10 | $44 – $44 |
| 12 | The University of Kansas Health System- St. Francis Campus Topeka, KS facility · percent of total billed charges · bothfrom % of charges | 3 | $81 | $81 | — | — | 1–10 | $81 – $81 |
| 13 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 4 | $29 | $29 | — | — | — | $29 – $29 |
| 14 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 15 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 16 | Allina Health Systems Ulm, MN facility · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 17 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 18 | Allina Health Systems Faribualt, MN facility · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 19 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 20 | Allina Health Systems Buffalo, MN facility · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 21 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 22 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 23 | Athens Hospital, LLC Athens, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $148 | $148 | — | — | — | $148 – $148 |
| 24 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $23 | $24 | $7 | 31% | — | $15 – $34 |
| 25 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $12 | $12 | $2 | 15% | — | $10 – $14 |
← Payers reporting CPT 90661 · Snapshot 20261111T120946Z-9134e7f7