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
$15
Average
$125
Median
$94
High
$819
Each hospital's average Optum rate, under the methodology and billing class chosen below.
146 hospitals; the 90th percentile is 5.3× 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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210 hospital rates
iThe hospitals that file a Optum 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 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | 1–10 | $47 – $47 |
| 2 | Mayo Clinic Health System Mankato 56001-4752 professional · fee schedule · outpatient | 1 | $92 | $92 | — | — | 1–10 | $92 – $92 |
| 3 | Mayo Clinic Health System Osseo, WI professional · fee schedule · outpatient | 1 | $92 | $92 | — | — | 1–10 | $92 – $92 |
| 4 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 1 | $92 | $92 | — | — | 1–10 | $92 – $92 |
| 5 | University of Arkansas for Medical Sciences Little Rock, AR facility · other · outpatient | 1 | $60 | $60 | — | — | 1–10 | $60 – $60 |
| 6 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | 1–10 | $24 – $24 |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 8 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $173 | $173 | $58 | 33% | — | $115 – $230 |
| 9 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 10 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $87 | $87 | $13 | 15% | — | $73 – $100 |
| 11 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 12 | Affinity Hospital LLC Birmingham, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 13 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $99 | $99 | $1 | 1% | — | $98 – $100 |
| 14 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 15 | Baylor University Medical Center Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 16 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 17 | Bluffton Health System LLC Bluffton, IN facility · per diem · outpatient | 1 | $134 | $134 | $2 | 1% | — | $133 – $136 |
| 18 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $64 | $13 | 20% | — | $55 – $82 |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
← Payers reporting CPT 90662 · Snapshot 20261111T120946Z-9134e7f7