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
$14
Average
$381
Median
$74
High
$17.5k
Each hospital's average Oscar rate, under the methodology and billing class chosen below.
64 hospitals; the 90th percentile is 13.1× 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.
Filter by billing methodology
Filter by billing class
72 hospital rates
iThe hospitals that file a Oscar 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 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | 32 | $33 – $33 |
| 2 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 2 | $56 | $56 | $8 | 14% | 1–10 | $49 – $64 |
| 3 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 2 | $56 | $56 | $8 | 14% | 1–10 | $49 – $64 |
| 4 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 5 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 6 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 7 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 8 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 9 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 10 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 11 | Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 12 | Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 13 | Advocate Lutheran General Hospital Park Ridge, IL case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 14 | Advocate Sherman Hospital Elgin, IL case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 15 | Advocate South Suburban Hospital Hazel Crest, IL case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 16 | Advocate Trinity Hospital Chicago, IL case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 17 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 18 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $430 | $430 | — | — | — | $430 – $430 |
| 19 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $430 | $430 | — | — | — | $430 – $430 |
| 20 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 21 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 22 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 23 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $535 | $535 | — | — | — | $535 – $535 |
| 24 | Fairfield Medical Center 401 N Ewing St facility · per diem · outpatient | 1 | $17.5k | $17.5k | — | — | — | $17.5k – $17.5k |
| 25 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
← Payers reporting CPT 90661 · Snapshot 20261111T120946Z-9134e7f7