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
$13
Average
$151
Median
$116
High
$763
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 7.0× 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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30 hospital rates
iThe hospitals that file a Carefirst 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 Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $137 | — | — | 2–20 | $137 – $137 |
| 2 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 3 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $455 | $446 | $14 | 3% | — | $426 – $459 |
| 4 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient | 2 | $86 | $89 | $4 | 5% | — | $86 – $96 |
| 5 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $86 | $89 | $4 | 5% | — | $86 – $96 |
| 6 | Mercy Medical Center-Clinton Inc Clinton, IA facility · fee schedule · both | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 7 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 8 | RESTON HOSPITAL CENTER Reston, VA fee schedule · outpatient | 2 | $130 | $130 | — | — | — | $130 – $130 |
| 9 | STONESPRINGS HOSPITAL CENTER Dulles, VA fee schedule · outpatient | 2 | $130 | $130 | — | — | — | $130 – $130 |
| 10 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $38 | $30 | $9 | 30% | — | $19 – $38 |
| 11 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 12 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 13 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 14 | Saint Francis Hospital and Medical Center Hartford, CT facility · fee schedule · both | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 15 | Samaritan Hospital Troy, NY facility · fee schedule · both | 2 | $93 | $93 | — | — | — | $93 – $93 |
| 16 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 17 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $137 | — | — | — | $137 – $137 |
| 18 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $188 | $188 | — | — | — | $188 – $188 |
| 19 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · inpatient | 2 | $86 | $89 | $4 | 5% | — | $86 – $96 |
| 20 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · outpatient | 2 | $86 | $89 | $4 | 5% | — | $86 – $96 |
| 21 | St Joseph Mercy Chelsea Chelsea, MI facility · fee schedule · both | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 22 | St Josephs Hospital Health Center Syracuse, NY professional · fee schedule · inpatient | 2 | $83 | $86 | $6 | 7% | — | $83 – $96 |
| 23 | St Josephs Hospital Health Center Syracuse, NY professional · fee schedule · outpatient | 2 | $83 | $86 | $6 | 7% | — | $83 – $96 |
| 24 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · inpatient | 2 | $86 | $89 | $4 | 5% | — | $86 – $96 |
| 25 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 2 | $86 | $89 | $4 | 5% | — | $86 – $96 |
← Payers reporting CPT 90673 · Snapshot 20261111T120946Z-9134e7f7