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
$144
Median
$115
High
$657
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
666 hospitals; the 90th percentile is 5.7× 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.
Filter by billing methodology
Filter by billing class
864 hospital rates
iThe hospitals that file a Cigna 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 | — | — | 86 | $137 – $137 |
| 2 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $137 | — | — | 53 | $137 – $137 |
| 3 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $236 | $235 | $15 | 6% | 47–74 | $212 – $258 |
| 4 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | — | — | 1–10 | $89 – $89 |
| 5 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
| 6 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 2 | $154 | $154 | — | — | 1–10 | $154 – $154 |
| 7 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 2 | $90 | $90 | $6 | 7% | 1–10 | $84 – $96 |
| 8 | University of Virginia Medical Center Charlottesville, VA fee schedule · both | 3 | $190 | $192 | $18 | 9% | 1–10 | $171 – $215 |
| 9 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 10 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $228 | $228 | — | — | — | $228 – $228 |
| 12 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $438 | $438 | — | — | — | $438 – $438 |
| 13 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 2 | $40 | $40 | — | — | — | $40 – $40 |
| 14 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $83 | $83 | — | — | — | $83 – $83 |
| 15 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 16 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 17 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 18 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 19 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 20 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 21 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 22 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · fee schedule · outpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 23 | Advocate Christ Medical Center Oak Lawn, IL facility · fee schedule · outpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 24 | Advocate Condell Medical Center Libertyville, IL fee schedule · outpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 25 | Advocate Good Samaritan Hospital Downers Grove, IL fee schedule · outpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
← Payers reporting CPT 90673 · Snapshot 20261111T120946Z-9134e7f7