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
$125
Median
$98
High
$773
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
552 hospitals; the 90th percentile is 4.2× 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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730 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | — | — | 366 | $6 – $6 |
| 2 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 3 | $86 | $90 | $5 | 5% | 255–309 | $86 – $96 |
| 3 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $137 | — | — | 250–385 | $137 – $137 |
| 4 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $137 | — | — | 182–317 | $137 – $137 |
| 5 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | 1–10 | $57 – $57 |
| 6 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 3 | $88 | $88 | — | — | 1–10 | $88 – $88 |
| 7 | Mercy Hospital Southeast Girardeau, MO professional · percent of total billed charges · outpatientfrom % of charges | 1 | $125 | $125 | — | — | 1–10 | $125 – $125 |
| 8 | Piedmont Athens Regional Athens, GA percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 9 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 10 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 11 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $59 | $77 | $28 | 37% | — | $50 – $111 |
| 12 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $43 | $42 | $1 | 1% | — | $42 – $43 |
| 13 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 3 | $42 | $42 | — | — | — | $42 – $42 |
| 14 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $42 | $42 | — | — | — | $42 – $42 |
| 15 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 16 | $83 | $83 | — | — | — | $83 – $83 |
| 16 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 17 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 3 | $41 | $41 | — | — | — | $41 – $41 |
| 18 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 19 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 20 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 21 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 22 | AdventHealth Porter Denver, CO fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 23 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $148 | $148 | $10 | 7% | — | $138 – $158 |
| 24 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $148 | $148 | $10 | 7% | — | $138 – $158 |
| 25 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
← Payers reporting CPT 90673 · Snapshot 20261111T120946Z-9134e7f7