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
$8
Average
$54
Median
$50
High
$238
Each hospital's average Regence rate, under the methodology and billing class chosen below.
46 hospitals; the 90th percentile is 8.0× 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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64 hospital rates
iThe hospitals that file a Regence 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 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 6 | $62 | $62 | — | — | — | $62 – $62 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 3 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 4 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 5 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 3 | $22 | $18 | $6 | 31% | — | $10 – $23 |
| 6 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 7 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR professional · fee schedule · outpatient | 6 | $62 | $62 | — | — | — | $62 – $62 |
| 8 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 2 | $78 | $78 | $15 | 19% | — | $63 – $93 |
| 9 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 10 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges | 5 | $9 | $8 | $3 | 31% | — | $3 – $10 |
| 11 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 12 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 2 | $69 | $62 | $10 | 16% | — | $49 – $69 |
| 13 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 2 | $69 | $62 | $10 | 16% | — | $49 – $69 |
| 14 | IHC Health Services Inc., DBA Intermountain Health Heber Valley Hospital Heber City, UT professional · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 15 | IHC Health Services Inc., DBA Intermountain Health Layton Hospital Layton, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $60 | $60 | $4 | 7% | — | $53 – $65 |
| 16 | IHC Health Services Inc., DBA Intermountain Health Layton Hospital Layton, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $60 | $59 | $5 | 8% | — | $53 – $65 |
| 17 | IHC Health Services Inc., DBA Intermountain Health Orem Community Hospital Orem, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $60 | $60 | $4 | 7% | — | $53 – $65 |
| 18 | IHC Health Services Inc., DBA Intermountain Health Orem Community Hospital Orem, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $60 | $59 | $5 | 8% | — | $53 – $65 |
| 19 | IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital St. George, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $75 | $74 | $1 | 1% | — | $73 – $75 |
| 20 | IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital St. George, UT facility · percent of total billed charges · outpatientfrom % of charges | 4 | $75 | $74 | $1 | 1% | — | $73 – $75 |
| 21 | MID-VALLEY HEALTHCARE INC Lebanon, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $33 | $33 | $13 | 41% | — | $20 – $47 |
| 22 | MID-VALLEY HEALTHCARE INC Lebanon, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | $5 | 41% | — | $7 – $17 |
| 23 | MID-VALLEY HEALTHCARE INC Lebanon, OR professional · fee schedule · outpatient | 6 | $62 | $62 | — | — | — | $62 – $62 |
| 24 | Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · outpatientfrom % of charges | 5 | $12 | $11 | $3 | 29% | — | $5 – $13 |
| 25 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $95 | $95 | — | — | — | $95 – $95 |
← Payers reporting CPT 90661 · Snapshot 20261111T120946Z-9134e7f7