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
$24
Average
$94
Median
$86
High
$280
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
79 hospitals; the 90th percentile is 2.5× 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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160 hospital rates
iThe hospitals that file a Wellmark 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 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 3 | $75 | $81 | $13 | 17% | 43–52 | $68 – $99 |
| 2 | Sioux Center Health Sioux Center, IA fee schedule · outpatient | 2 | $83 | $83 | — | — | 38 | $83 – $83 |
| 3 | Freeman Regional Health Svcs. Freeman, SD outpatient | 1 | $79 | $79 | — | — | 26 | $79 – $79 |
| 4 | Freeman Regional Health Svcs. Freeman, SD percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | 26 | $87 – $87 |
| 5 | Lakes Regional Hospital Spirit Lake, IA fee schedule · outpatient | 2 | $83 | $83 | — | — | 26 | $83 – $83 |
| 6 | Spencer Municipal Hospital Spencer, IA fee schedule · inpatient | 3 | $75 | $81 | $13 | 17% | 2–20 | $68 – $99 |
| 7 | Avera Creighton Hospital Creighton, NE outpatient | 1 | $83 | $83 | — | — | 1–10 | $83 – $83 |
| 8 | Avera Creighton Hospital Creighton, NE percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $82 | — | — | 1–10 | $82 – $82 |
| 9 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $131 | $131 | — | — | 1–10 | $131 – $131 |
| 10 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $45 | $45 | — | — | — | $45 – $45 |
| 11 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 2 | $73 | $73 | — | — | — | $73 – $73 |
| 12 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 2 | $73 | $73 | — | — | — | $73 – $73 |
| 13 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $43 | $43 | — | — | — | $43 – $43 |
| 14 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 2 | $73 | $73 | — | — | — | $73 – $73 |
| 15 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 16 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $83 | $83 | — | — | — | $83 – $83 |
| 17 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · outpatient | 3 | $83 | $83 | — | — | — | $83 – $83 |
| 18 | Avera Behavioral Health Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $83 | $83 | — | — | — | $83 – $83 |
| 19 | Avera Creighton Hospital Creighton, NE percent of total billed charges · inpatientfrom % of charges | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 20 | Avera DeSmet De Smet, SD percent of total billed charges · inpatientfrom % of charges | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 21 | Avera DeSmet De Smet, SD percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 22 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · inpatientfrom % of charges | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 23 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 24 | Avera Hand County Hospital Miller, SD percent of total billed charges · inpatientfrom % of charges | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 25 | Avera Hand County Hospital Miller, SD percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | — | $73 – $73 |
← Payers reporting CPT 90662 · Snapshot 20261111T120946Z-9134e7f7