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
$521
Median
$85
High
$21.3k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
296 hospitals; the 90th percentile is 6.5× 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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345 hospital rates
iThe hospitals that file a WellCare 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 | The Aroostook Medical Center Isle, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $90 | — | — | 729 | $90 – $90 |
| 2 | Eastern Maine Medical Center Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | — | — | 552 | $89 – $89 |
| 3 | Maine Coast Regional Health Facilities Ellsworth, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | — | — | 226 | $89 – $89 |
| 4 | Mercy Hospital Portland, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | 99 | $73 – $73 |
| 5 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $131 | $131 | — | — | 96 | $131 – $131 |
| 6 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 3 | $29 | $95 | $107 | 114% | 50–68 | $12 – $279 |
| 7 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 3 | $29 | $95 | $107 | 114% | 50–68 | $12 – $279 |
| 8 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 3 | $28 | $93 | $106 | 114% | 38–56 | $12 – $272 |
| 9 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 3 | $28 | $93 | $106 | 114% | 38–56 | $12 – $272 |
| 10 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | $18 | 59% | 30 | $13 – $49 |
| 11 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | 26 | $80 – $80 |
| 12 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 3 | $21 | $62 | $60 | 98% | 21–30 | $18 – $147 |
| 13 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $131 | $131 | — | — | 18 | $131 – $131 |
| 14 | HCA HOUSTON HEALTHCARE CLEAR LAKE WEBSTER, TX percent of total billed charges · outpatientfrom % of charges | 5 | $12 | $12 | — | — | 5–50 | $12 – $12 |
| 15 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | $5 | 8% | 4–40 | $59 – $71 |
| 16 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | $6 | 8% | 4–40 | $66 – $80 |
| 17 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | $7 | 8% | 4–40 | $80 – $98 |
| 18 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $30 | $30 | — | — | 2–20 | $30 – $30 |
| 19 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC percent of total billed charges · bothfrom % of charges | 3 | $28 | $93 | $106 | 114% | 2–20 | $12 – $272 |
| 20 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC percent of total billed charges · bothfrom % of charges | 3 | $25 | $83 | $93 | 112% | 2–20 | $12 – $242 |
| 21 | Beaufort Memorial Hospital Beaufort, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $149 | $149 | — | — | 1–10 | $149 – $149 |
| 22 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | 1–10 | $30 – $30 |
| 23 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges | 1 | $95 | $95 | — | — | 1–10 | $95 – $95 |
| 24 | LEE MEMORIAL HOSPITAL FORT MYERS, FL professional · fee schedule · both | 1 | $103 | $103 | — | — | 1–10 | $103 – $103 |
| 25 | MEDICAL CITY ARLINGTON GRAND PRAIRIE, TX percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | 1–10 | $20 – $20 |
← Payers reporting CPT 90662 · Snapshot 20261111T120946Z-9134e7f7