CPT 90672
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
Laiv4 vaccine intranasal
Low
$0
Average
$26
Median
$27
High
$58
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43 hospital rates
iThe hospitals that file a Tricare 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 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 2 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 3 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 4 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 5 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 6 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 7 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 8 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 9 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 10 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 11 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 12 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 13 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 14 | Austin Center for Outpatient Surgery LP, DBA Northwest Hills Surgical Hospital Austin, TX fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 15 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 16 | Beatrice Community Hospital Beatrice, NE fee schedule · outpatient | 1 | $5 | $5 | $1 | 20% | — | $4 – $6 |
| 17 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $45 | $45 | $20 | 44% | — | $25 – $65 |
| 18 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 19 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 20 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 21 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 22 | Kaweah Health Rehabilitation Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 23 | Lake Charles Memorial Hospital Charles., LA fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 24 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 25 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting CPT 90672 · Snapshot 20261113T090226Z-3ce6c0b8