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
$5
Average
$126
Median
$96
High
$5.9k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
477 hospitals; the 90th percentile is 4.6× 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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571 hospital rates
iThe hospitals that file a Humana 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 | 1 | $17 | $17 | — | — | 220 | $17 – $17 |
| 2 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 1 | $209 | $209 | — | — | 155 | $209 – $209 |
| 3 | St Peters Hospital Albany, NY professional · fee schedule · outpatient | 1 | $94 | $94 | — | — | 20 | $94 – $94 |
| 4 | University of Virginia Culpeper Medical Center Culpeper, VA percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | $3 | 14% | 2–20 | $16 – $22 |
| 5 | Samaritan Hospital Troy, NY professional · fee schedule · outpatient | 1 | $94 | $94 | — | — | 1–10 | $94 – $94 |
| 6 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 2 | $96 | $96 | — | — | 1–10 | $96 – $96 |
| 7 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $137 | — | — | 1–10 | $137 – $137 |
| 8 | University of Virginia Prince William Medical Center Manassas, VA percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | $3 | 14% | 1–10 | $16 – $22 |
| 9 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $450 | $450 | — | — | — | $450 – $450 |
| 10 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 4 | $113 | $113 | — | — | — | $113 – $113 |
| 11 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $102 | $102 | — | — | — | $102 – $102 |
| 12 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 13 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 14 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 15 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 16 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 17 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 3 | $85 | $89 | $12 | 14% | — | $76 – $106 |
| 18 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 19 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 20 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 21 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 22 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 23 | BASSETT HOSPITAL OF SCHOHARIE COUNTY Cobleskill, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 24 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 25 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
← Payers reporting CPT 90673 · Snapshot 20261111T120946Z-9134e7f7