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
$79
Average
$360
Median
$259
High
$1.5k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
53 hospitals; the 90th percentile is 7.9× 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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55 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $634 | $634 | — | — | — | $634 – $634 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $634 | $634 | — | — | — | $634 – $634 |
| 3 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $82 | $82 | $4 | 5% | — | $78 – $86 |
| 4 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $82 | $82 | $4 | 5% | — | $78 – $86 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 6 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 7 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 2 | $79 | $79 | $4 | 5% | — | $76 – $83 |
| 8 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $247 | $247 | — | — | — | $247 – $247 |
| 9 | FISHERMENS HEALTH, INC MARATHON, FL fee schedule · both | 2 | $79 | $79 | $4 | 5% | — | $76 – $83 |
| 10 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLE CRAWFORDSVILLE, IN fee schedule · both | 1 | $247 | $247 | — | — | — | $247 – $247 |
| 11 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN fee schedule · both | 2 | $247 | $264 | $23 | 9% | — | $247 – $297 |
| 12 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · both | 14 | $247 | $260 | $21 | 8% | — | $247 – $297 |
| 13 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN fee schedule · both | 2 | $272 | $272 | $25 | 9% | — | $247 – $297 |
| 14 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN fee schedule · both | 2 | $272 | $272 | $25 | 9% | — | $247 – $297 |
| 15 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN fee schedule · both | 2 | $272 | $272 | $25 | 9% | — | $247 – $297 |
| 16 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN fee schedule · both | 2 | $272 | $272 | $25 | 9% | — | $247 – $297 |
| 17 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 18 | HMA Santa Rosa Medical Center LLC Milton, FL facility · fee schedule · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 19 | HOMESTEAD HOSPITAL Homestead, FL fee schedule · both | 2 | $79 | $79 | $4 | 5% | — | $76 – $83 |
| 20 | Holyoke Medical Center Holyoke, MA facility · fee schedule · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 21 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 22 | IOM Health System LP Fort Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $247 | $247 | — | — | — | $247 – $247 |
| 23 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $634 | $634 | — | — | — | $634 – $634 |
| 24 | Laredo Texas Hospital Company LP Laredo, TX facility · fee schedule · outpatient | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 25 | Longview Medical Center LP Longview, TX facility · fee schedule · outpatient | 1 | $239 | $239 | — | — | — | $239 – $239 |
← Payers reporting CPT 90671 · Snapshot 20261111T120946Z-9134e7f7