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
$138
Median
$102
High
$9.0k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
955 hospitals; the 90th percentile is 5.0× 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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1,326 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | — | — | 830 | $137 – $137 |
| 2 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 2 | $427 | $427 | $219 | 51% | 518–527 | $209 – $646 |
| 3 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $137 | — | — | 434–452 | $137 – $137 |
| 4 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | — | — | 253 | $17 – $17 |
| 5 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $158 | $157 | $9 | 5% | 74–83 | $146 – $167 |
| 6 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 4 | $18 | $24 | $12 | 50% | 27 | $16 – $45 |
| 7 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 3 | $11 | $10 | $4 | 39% | 18–27 | $5 – $14 |
| 8 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 2 | $69 | $69 | $27 | 38% | 14–23 | $43 – $96 |
| 9 | University of Virginia Culpeper Medical Center Culpeper, VA percent of total billed charges · bothfrom % of charges | 3 | $54 | $48 | $22 | 46% | 12–21 | $16 – $78 |
| 10 | Piedmont Athens Regional Athens, GA percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | 11 | $13 – $13 |
| 11 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 6 | $136 | $102 | $44 | 43% | 2–20 | $48 – $154 |
| 12 | Spooner Health System, Inc Spooner, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $60 | $60 | $2 | 3% | 2–20 | $58 – $62 |
| 13 | University of Virginia Prince William Medical Center Manassas, VA percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | $3 | 14% | 2–20 | $16 – $22 |
| 14 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $66 | — | — | 1–10 | $66 – $66 |
| 15 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN fee schedule · both | 3 | $162 | $162 | — | — | 1–10 | $162 – $162 |
| 16 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN percent of total billed charges · bothfrom % of charges | 1 | $36 | $36 | — | — | 1–10 | $36 – $36 |
| 17 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN percent of total billed charges · bothfrom % of charges | 1 | $37 | $37 | $9 | 25% | 1–10 | $28 – $46 |
| 18 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $103 | $103 | — | — | 1–10 | $103 – $103 |
| 19 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 5 | $83 | $88 | $5 | 6% | 1–10 | $83 – $94 |
| 20 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · both | 1 | $89 | $89 | — | — | 1–10 | $89 – $89 |
| 21 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $161 | $161 | — | — | 1–10 | $161 – $161 |
| 22 | University of Virginia Medical Center Charlottesville, VA fee schedule · both | 3 | $169 | $169 | $31 | 18% | 1–10 | $138 – $199 |
| 23 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 1 | $112 | $112 | — | — | 1–10 | $112 – $112 |
| 24 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 2 | $95 | $95 | — | — | — | $95 – $95 |
| 25 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 2 | $118 | $118 | — | — | — | $118 – $118 |
← Payers reporting CPT 90673 · Snapshot 20261112T124536Z-e251e855