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
Pcv15 Vaccine for Intramuscular Use
Low
$183
Average
$282
Median
$261
High
$730
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 1.2× 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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31 hospital rates
iThe hospitals that file a Excellus 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 | Alice Hyde Medical Center Malone, NY professional · fee schedule · both | 3 | $253 | $258 | $8 | 3% | — | $253 – $269 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $261 | $261 | — | — | — | $261 – $261 |
| 3 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $261 | $261 | — | — | — | $261 – $261 |
| 4 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $261 | $261 | — | — | — | $261 – $261 |
| 5 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $234 | $234 | — | — | — | $234 – $234 |
| 6 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $261 | $261 | — | — | — | $261 – $261 |
| 7 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 5 | $253 | $254 | $15 | 6% | — | $234 – $269 |
| 8 | Highland Hospital Rochester, NY fee schedule · outpatient | 6 | $97 | $183 | $166 | 90% | — | $61 – $515 |
| 9 | Massena Hospital Inc Massena, NY facility · fee schedule · outpatient | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 10 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 4 | $244 | $258 | $21 | 8% | — | $230 – $287 |
| 11 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $526 | $526 | — | — | — | $526 – $526 |
| 12 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $261 | $261 | — | — | — | $261 – $261 |
| 13 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · fee schedule · both | 1 | $261 | $261 | — | — | — | $261 – $261 |
| 14 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · both | 1 | $261 | $261 | — | — | — | $261 – $261 |
| 15 | Mercy Medical Center - Dyersville Dyersville, IA facility · fee schedule · both | 1 | $261 | $261 | — | — | — | $261 – $261 |
| 16 | Mercy Medical Center - New Hampton New Hampton, IA facility · fee schedule · both | 1 | $261 | $261 | — | — | — | $261 – $261 |
| 17 | Mercy Medical Center - Newton Newton, IA facility · fee schedule · both | 1 | $261 | $261 | — | — | — | $261 – $261 |
| 18 | Mercy Medical Center-Clinton Inc Clinton, IA facility · fee schedule · both | 1 | $261 | $261 | — | — | — | $261 – $261 |
| 19 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 3 | $253 | $250 | $14 | 6% | — | $234 – $269 |
| 20 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 1 | $234 | $234 | — | — | — | $234 – $234 |
| 21 | Saint Francis Hospital and Medical Center Hartford, CT facility · fee schedule · both | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 22 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $730 | $730 | $469 | 64% | — | $261 – $1.2k |
| 23 | Sartori Memorial Hospital Inc Cedar Falls, IA facility · fee schedule · both | 1 | $261 | $261 | — | — | — | $261 – $261 |
| 24 | St. James Hospital Hornell, NY fee schedule · outpatient | 3 | $234 | $243 | $15 | 6% | — | $234 – $269 |
| 25 | St. Joseph's Mercy Hospital, Centerville Centerville, IA facility · fee schedule · both | 1 | $261 | $261 | — | — | — | $261 – $261 |
← Payers reporting CPT 90671 · Snapshot 20261111T120946Z-9134e7f7