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
$140
Median
$72
High
$819
Each hospital's average Magellan rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 14.8× 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.
Filter by billing methodology
Filter by billing class
32 hospital rates
iThe hospitals that file a Magellan 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 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 2 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 3 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 4 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 5 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 6 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 7 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 8 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $171 | $171 | — | — | — | $171 – $171 |
| 9 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · percent of total billed charges · outpatientfrom % of charges | 1 | $171 | $171 | — | — | — | $171 – $171 |
| 10 | MEDICAL CITY MCKINNEY MCKINNEY, TX percent of total billed charges · outpatientfrom % of charges | 2 | $528 | $528 | — | — | — | $528 – $528 |
| 11 | Morristown Medical Center Morristown, NJ percent of total billed charges · bothfrom % of charges | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 12 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 13 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $234 | $234 | $198 | 85% | — | $36 – $432 |
| 14 | Penn Medicine Princeton Medical Center Princeton, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $264 | $264 | — | — | — | $264 – $264 |
| 15 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $187 | $187 | $77 | 41% | — | $110 – $264 |
| 16 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 17 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 18 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 19 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 20 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 21 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $137 | — | — | — | $137 – $137 |
| 22 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 23 | St Peters Hospital Albany, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 24 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $137 | — | — | — | $137 – $137 |
| 25 | The Charlotte Mecklenburg Hospital Authority Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
← Payers reporting CPT 90673 · Snapshot 20261111T120946Z-9134e7f7