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
$0
Average
$1.7k
Median
$102
High
$2451.0k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1556 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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2,614 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | 1,517 | $80 – $80 |
| 2 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | 1,000 | $80 – $80 |
| 3 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $64 | — | — | 905 | $64 – $64 |
| 4 | Eastern Maine Medical Center Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $89 | $95 | $8 | 9% | 670 | $89 – $107 |
| 5 | Mercy Hospital Portland, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $76 | $76 | $3 | 4% | 638 | $73 – $79 |
| 6 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 2 | $188 | $188 | $27 | 15% | 544–553 | $161 – $216 |
| 7 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 2 | $188 | $188 | $27 | 15% | 544–553 | $161 – $216 |
| 8 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $131 | $131 | — | — | 485–494 | $131 – $131 |
| 9 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $90 | $92 | $3 | 3% | 471–480 | $89 – $96 |
| 10 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $201 | $204 | $41 | 20% | 405 | $121 – $248 |
| 11 | University of Arkansas for Medical Sciences Little Rock, AR facility · other · outpatient | 1 | $60 | $60 | — | — | 343 | $60 – $60 |
| 12 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · outpatientfrom % of charges | 15 | $132 | $132 | $10 | 7% | 312 | $99 – $141 |
| 13 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · percent of total billed charges · outpatientfrom % of charges | 15 | $103 | $94 | $25 | 27% | 312 | $54 – $141 |
| 14 | SAINT JOSEPH HOSPITAL, INC. DBA INTERMOUNTAIN NHEALTH SAINT JOSEPH HOSPITAL DENVER, CO facility · percent of total billed charges · outpatientfrom % of charges | 14 | $103 | $108 | $17 | 15% | 304 | $78 – $141 |
| 15 | Maine Coast Regional Health Facilities Ellsworth, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | — | — | 303 | $89 – $89 |
| 16 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · percent of total billed charges · outpatientfrom % of charges | 14 | $103 | $112 | $19 | 17% | 288 | $78 – $141 |
| 17 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 2 | $90 | $90 | $2 | 2% | 269 | $88 – $92 |
| 18 | SCL HEALTH - MONTANA, DBA INTERMOUNTAIN HEALTH ST. VINCENT HEALTHCARE Billings, MT facility · percent of total billed charges · outpatientfrom % of charges | 12 | $162 | $158 | $8 | 5% | 268 | $141 – $162 |
| 19 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 4 | $16 | $21 | $11 | 50% | 263 | $14 – $40 |
| 20 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 2 | $29 | $78 | $95 | 122% | 259–268 | $12 – $275 |
| 21 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 2 | $29 | $78 | $95 | 122% | 259–268 | $12 – $275 |
| 22 | ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. DBA INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL JUNCTION, CO facility · percent of total billed charges · outpatientfrom % of charges | 16 | $157 | $145 | $24 | 17% | 220–229 | $71 – $157 |
| 23 | St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITAL Butte, MT facility · percent of total billed charges · outpatientfrom % of charges | 10 | $152 | $149 | $5 | 3% | 210 | $141 – $152 |
| 24 | The Aroostook Medical Center Isle, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $90 | $95 | $8 | 8% | 202 | $89 – $107 |
| 25 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | 194–203 | $67 – $67 |
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