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
$3
Average
$781
Median
$29
High
$15.6k
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
89 hospitals; the 90th percentile is 26.8× 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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97 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 2 | $80 | $80 | $69 | 86% | — | $11 – $149 |
| 2 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 3 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 6 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 7 | Caldwell Memorial Hospital Lenoir, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 8 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 9 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 10 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 11 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 12 | CentraState Medical Center Freehold Township, NJ other · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 13 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | $12 | 71% | — | $5 – $28 |
| 14 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 1 | $15.1k | $15.1k | — | — | — | $15.1k – $15.1k |
| 15 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 16 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 17 | Geisinger St Luke's Hospital - Orwigsburg Campus Orwigsburg, PA facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 18 | HSA CGH LLC Coral Gables, FL facility · fee schedule · outpatient | 3 | $56 | $67 | $41 | 61% | — | $23 – $121 |
| 19 | HSA PGH LLC Hialeah, FL facility · fee schedule · outpatient | 3 | $41 | $51 | $28 | 55% | — | $23 – $88 |
| 20 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 21 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $438 | $438 | — | — | — | $438 – $438 |
| 22 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 23 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 24 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 25 | Memorial Hospital Miramar Miramar, FL facility · fee schedule · outpatient | 1 | $187 | $187 | — | — | — | $187 – $187 |
← Payers reporting CPT 90673 · Snapshot 20261111T120946Z-9134e7f7