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 Influenza (Iiv) Preservative Free Antigen Content Im
Low
$25
Average
$143
Median
$102
High
$3.7k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
399 hospitals; the 90th percentile is 4.1× 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.
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768 hospital rates
iThe hospitals that file a Anthem 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 | Eastern Maine Medical Center Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 3 | $86 | $81 | $7 | 9% | 576 | $72 – $89 |
| 2 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $179 | $174 | $56 | 32% | 311 | $65 – $248 |
| 3 | Mercy Hospital Portland, ME facility · percent of total billed charges · outpatientfrom % of charges | 3 | $72 | $72 | $1 | 1% | 309 | $72 – $73 |
| 4 | Maine Coast Regional Health Facilities Ellsworth, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $85 | $85 | — | — | 302 | $85 – $85 |
| 5 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 6 | $76 | $85 | $9 | 11% | 273–318 | $76 – $96 |
| 6 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $131 | $131 | — | — | 189–234 | $131 – $131 |
| 7 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $146 | $146 | — | — | 186 | $146 – $146 |
| 8 | The Aroostook Medical Center Isle, ME facility · percent of total billed charges · outpatientfrom % of charges | 3 | $73 | $78 | $7 | 9% | 152 | $72 – $86 |
| 9 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $45 | $45 | $34 | 75% | 123–132 | $11 – $80 |
| 10 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $131 | $131 | — | — | 54–90 | $131 – $131 |
| 11 | University Medical Center, Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 5 | $159 | $224 | $256 | 114% | 52 | $50 – $918 |
| 12 | UofL Health -Shelbyville, Inc. Shelbyville, KY facility · percent of total billed charges · outpatientfrom % of charges | 4 | $154 | $115 | $54 | 47% | 52 | $50 – $166 |
| 13 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 4 | $154 | $115 | $54 | 47% | 52 | $50 – $166 |
| 14 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 4 | $154 | $115 | $54 | 47% | 52 | $50 – $166 |
| 15 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 4 | $154 | $115 | $54 | 47% | 52 | $50 – $166 |
| 16 | UofL Health-Louisville Inc. Shepherdville, KY facility · percent of total billed charges · outpatientfrom % of charges | 4 | $154 | $115 | $54 | 47% | 52 | $50 – $166 |
| 17 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 4 | $154 | $115 | $54 | 47% | 52 | $50 – $166 |
| 18 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 4 | $154 | $115 | $54 | 47% | 52 | $50 – $166 |
| 19 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $199 | $200 | $16 | 8% | 51 | $180 – $220 |
| 20 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $272 | $279 | $83 | 30% | 44 | $180 – $395 |
| 21 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 2 | $304 | $315 | $119 | 38% | 26 | $180 – $475 |
| 22 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | $7 | 8% | 25 | $84 – $103 |
| 23 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges | 1 | $199 | $200 | $16 | 8% | 14 | $180 – $220 |
| 24 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $42 | $42 | — | — | 11–110 | $42 – $42 |
| 25 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 2 | $294 | $304 | $107 | 35% | 8–80 | $180 – $449 |
← Payers reporting CPT 90662 · Snapshot 20261111T120946Z-9134e7f7