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
$24
Median
$29
High
$53
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39 hospital rates
iThe hospitals that file a Ucare 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 | Essentia Health Ada 201 9th St W Ada, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 2 | Essentia Health Ada 201 9th St W Ada, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $30 | $30 | $5 | 16% | — | $25 – $35 |
| 3 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · inpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 4 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 5 | Essentia Health Fosston 900 Hilligoss Blvd SE Fosston, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 6 | Essentia Health Fosston 900 Hilligoss Blvd SE Fosston, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $30 | $30 | $4 | 14% | — | $26 – $35 |
| 7 | Essentia Health Holy Trinity Hospital Graceville, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 8 | Essentia Health Holy Trinity Hospital Graceville, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $34 | $34 | $1 | 3% | — | $33 – $35 |
| 9 | Essentia Health Northern Pines 5211 Highway 110 Aurora, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 10 | Essentia Health Northern Pines 5211 Highway 110 Aurora, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $28 | $28 | $7 | 26% | — | $20 – $35 |
| 11 | Essentia Health Sandstone 705 Lundorff Dr Sandstone, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 12 | Essentia Health Sandstone 705 Lundorff Dr Sandstone, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $30 | $30 | $5 | 17% | — | $25 – $35 |
| 13 | Essentia Health St Marys Hospital-Superior 3500 Tower Ave Superior, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 14 | Essentia Health St Marys Hospital-Superior 3500 Tower Ave Superior, WI facility · percent of total billed charges · outpatientfrom % of charges | 2 | $26 | $26 | $9 | 35% | — | $17 – $35 |
| 15 | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE PAUL, MN facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 16 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 17 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $34 | $34 | — | — | — | $34 – $34 |
| 18 | Hudson Hospital Hudson, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 19 | LAKEWOOD HEALTH CENTER Baudette, MN fee schedule · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | LAKEWOOD HEALTH CENTER Baudette, MN fee schedule · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 4 | $35 | $35 | $2 | 5% | — | $33 – $37 |
| 22 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 2 | $29 | $29 | $2 | 5% | — | $28 – $31 |
| 23 | Mayo Clinic Health System Lake City 55041-1143 professional · percent of total billed charges · outpatientfrom % of charges | 2 | $29 | $29 | $2 | 5% | — | $28 – $31 |
| 24 | Mayo Clinic Health System Saint James 56081-5550 professional · percent of total billed charges · outpatientfrom % of charges | 2 | $29 | $29 | $2 | 5% | — | $28 – $31 |
| 25 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 4 | $29 | $28 | $3 | 11% | — | $23 – $31 |
← Payers reporting CPT 90672 · Snapshot 20261113T090226Z-3ce6c0b8