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
$11
Average
$155
Median
$135
High
$763
Each hospital's average Regence rate, under the methodology and billing class chosen below.
31 hospitals; the 90th percentile is 5.9× 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
49 hospital rates
iThe hospitals that file a Regence 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 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | 47 | $33 – $33 |
| 2 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 1 | $127 | $127 | — | — | 12 | $127 – $127 |
| 3 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 3 | $108 | $116 | $21 | 19% | 2–20 | $98 – $150 |
| 4 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $137 | — | — | 2–20 | $137 – $137 |
| 5 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $137 | — | — | 1–10 | $137 – $137 |
| 6 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 2 | $86 | $90 | $5 | 5% | 1–10 | $86 – $96 |
| 7 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $389 | $389 | — | — | — | $389 – $389 |
| 8 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 6 | $123 | $123 | — | — | — | $123 – $123 |
| 9 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $108 | $155 | $138 | 89% | — | $25 – $379 |
| 10 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $389 | $389 | — | — | — | $389 – $389 |
| 11 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR professional · fee schedule · outpatient | 6 | $123 | $123 | — | — | — | $123 – $123 |
| 12 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 13 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 14 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $455 | $455 | — | — | — | $455 – $455 |
| 15 | IHC Health Services Inc., DBA Intermountain Health Heber Valley Hospital Heber City, UT professional · fee schedule · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 16 | MID-VALLEY HEALTHCARE INC Lebanon, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $235 | $235 | $180 | 77% | — | $55 – $415 |
| 17 | MID-VALLEY HEALTHCARE INC Lebanon, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $83 | $64 | 77% | — | $19 – $147 |
| 18 | MID-VALLEY HEALTHCARE INC Lebanon, OR professional · fee schedule · outpatient | 6 | $123 | $123 | — | — | — | $123 – $123 |
| 19 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient | 2 | $86 | $90 | $5 | 5% | — | $86 – $96 |
| 20 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $86 | $90 | $5 | 5% | — | $86 – $96 |
| 21 | Mercy Medical Center-Clinton Inc Clinton, IA facility · fee schedule · both | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 22 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 23 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 24 | SAMARITAN NORTH LINCOLN HOSPITAL Lincoln City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $235 | $235 | $180 | 77% | — | $55 – $415 |
| 25 | SAMARITAN NORTH LINCOLN HOSPITAL Lincoln City, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $103 | $103 | $79 | 77% | — | $24 – $183 |
← Payers reporting CPT 90673 · Snapshot 20261111T120946Z-9134e7f7