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
PR Vaccine Influenza Trivalent (Riv3) Rdna Antibiotic/Preservative Free Im
Low
$0
Average
$214
Median
$98
High
$17.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
607 hospitals; the 90th percentile is 7.5× 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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921 hospital rates
iThe hospitals that file a Aetna 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 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 5 | $53 | $44 | $17 | 39% | 163–190 | $17 – $57 |
| 2 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 3 | $96 | $97 | $1 | 1% | 45–54 | $96 – $98 |
| 3 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 3 | $6 | $6 | $1 | 9% | 28 | $6 – $7 |
| 4 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $292 | $291 | $16 | 5% | 13–22 | $271 – $309 |
| 5 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $177 | $179 | $6 | 3% | 3–30 | $173 – $187 |
| 6 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN percent of total billed charges · bothfrom % of charges | 1 | $41 | $41 | $10 | 25% | 2–20 | $31 – $52 |
| 7 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $118 | $118 | $48 | 41% | 2–20 | $70 – $167 |
| 8 | University of Virginia Culpeper Medical Center Culpeper, VA percent of total billed charges · bothfrom % of charges | 2 | $39 | $42 | $24 | 56% | 2–20 | $16 – $73 |
| 9 | University of Virginia Prince William Medical Center Manassas, VA percent of total billed charges · bothfrom % of charges | 2 | $24 | $26 | $11 | 43% | 2–20 | $13 – $41 |
| 10 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | 1–10 | $47 – $47 |
| 11 | Little Falls Hospital Falls, NY professional · other · outpatient | 2 | $85 | $85 | $25 | 29% | 1–10 | $60 – $110 |
| 12 | Mercy Hospital Southeast Girardeau, MO professional · percent of total billed charges · outpatientfrom % of charges | 1 | $109 | $109 | — | — | 1–10 | $109 – $109 |
| 13 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | 1–10 | $65 – $65 |
| 14 | Piedmont Athens Regional Athens, GA percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 15 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · outpatientfrom % of charges | 1 | $59 | $59 | — | — | 1–10 | $59 – $59 |
| 16 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $152 | $152 | — | — | 1–10 | $152 – $152 |
| 17 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 18 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 19 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $249 | $249 | $36 | 14% | — | $213 – $285 |
| 20 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $185 | $158 | $57 | 36% | — | $62 – $199 |
| 21 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 2 | $151 | $151 | $13 | 9% | — | $137 – $164 |
| 22 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $228 | $242 | $31 | 13% | — | $213 – $285 |
| 23 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $438 | $438 | — | — | — | $438 – $438 |
| 24 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 25 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $85 | $85 | $1 | 2% | — | $83 – $87 |
← Payers reporting CPT 90673 · Snapshot 20261111T120946Z-9134e7f7