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
Pcv13 vaccine im
Low
$85
Average
$212
Median
$216
High
$516
Each hospital's average Clover rate, under the methodology and billing class chosen below.
34 hospitals; the 90th percentile is 2.9× 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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34 hospital rates
iThe hospitals that file a Clover 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 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 2 | Capital Health System Inc Trenton, NJ case rate · outpatient | 1 | $258 | $258 | — | — | — | $258 – $258 |
| 3 | Capital Health System Inc Browns Mills, NJ case rate · outpatient | 1 | $258 | $258 | — | — | — | $258 – $258 |
| 4 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $263 | $263 | — | — | — | $263 – $263 |
| 5 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $258 | $258 | — | — | — | $258 – $258 |
| 6 | East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient | 1 | $221 | $221 | — | — | — | $221 – $221 |
| 7 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $266 | $266 | — | — | — | $266 – $266 |
| 8 | Gadsden Regional Medical Center LLC Gadsden, AL facility · fee schedule · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 9 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $271 | $271 | — | — | — | $271 – $271 |
| 10 | Inspira Health Center Bridgeton Bridgeton, NJ fee schedule · outpatient | 1 | $258 | $258 | — | — | — | $258 – $258 |
| 11 | Inspira Health Center Woodbury Woodbury, NJ fee schedule · outpatient | 1 | $258 | $258 | — | — | — | $258 – $258 |
| 12 | Inspira Medical Center Elmer Elmer, NJ fee schedule · outpatient | 1 | $258 | $258 | — | — | — | $258 – $258 |
| 13 | Inspira Medical Center Mannington Salem, NJ fee schedule · outpatient | 1 | $258 | $258 | — | — | — | $258 – $258 |
| 14 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $258 | $258 | — | — | — | $258 – $258 |
| 15 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $258 | $258 | — | — | — | $258 – $258 |
| 16 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $516 | $516 | — | — | — | $516 – $516 |
| 17 | Navicent Health Baldwin Inc Milledgeville, GA fee schedule · outpatient | 1 | $263 | $263 | — | — | — | $263 – $263 |
| 18 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $182 | $192 | $13 | 7% | — | $182 – $210 |
| 19 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $195 | $204 | $14 | 7% | — | $195 – $224 |
| 20 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $182 | $192 | $13 | 7% | — | $182 – $210 |
| 21 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $182 | $192 | $13 | 7% | — | $182 – $210 |
| 22 | Northside Hospital, Inc. Canton, GA fee schedule · outpatient | 1 | $134 | $141 | $10 | 7% | — | $134 – $154 |
| 23 | Northwest Hospital LLC Tucson, AZ facility · fee schedule · outpatient | 1 | $184 | $184 | — | — | — | $184 – $184 |
| 24 | Northwest Sahurita Hospital LLC Tucson, AZ facility · fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 25 | Northwest Sahurita Hospital LLC Sahuarita, AZ facility · fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
← Payers reporting CPT 90670 · Snapshot 20261112T124536Z-e251e855