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
Cciiv4 vac no prsv 0.5 ml im
Low
$0
Average
$233
Median
$54
High
$3.3k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
51 hospitals; the 90th percentile is 47.3× 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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57 hospital rates
iThe hospitals that file a Ambetter 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 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 2 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 2 | $56 | $56 | $4 | 6% | — | $52 – $60 |
| 3 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 2 | $58 | $58 | $3 | 5% | — | $55 – $61 |
| 4 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 2 | $57 | $57 | $4 | 6% | — | $54 – $61 |
| 5 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 2 | $57 | $57 | $4 | 8% | — | $52 – $61 |
| 6 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 2 | $56 | $56 | $5 | 10% | — | $50 – $61 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY other · outpatient | 2 | $779 | $779 | — | — | — | $779 – $779 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN other · outpatient | 1 | $607 | $607 | — | — | — | $607 – $607 |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY other · outpatient | 2 | $779 | $779 | — | — | — | $779 – $779 |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY other · outpatient | 2 | $822 | $822 | — | — | — | $822 – $822 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY other · outpatient | 2 | $779 | $779 | — | — | — | $779 – $779 |
| 12 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY other · outpatient | 2 | $779 | $779 | — | — | — | $779 – $779 |
| 13 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY other · outpatient | 2 | $779 | $779 | — | — | — | $779 – $779 |
| 14 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY other · outpatient | 2 | $779 | $779 | — | — | — | $779 – $779 |
| 15 | Baxter County Regional Hospital, Inc. Home, AR facility · fee schedule · outpatient | 1 | $16 | $18 | $3 | 16% | — | $16 – $23 |
| 16 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $54 | $54 | $6 | 11% | — | $48 – $60 |
| 17 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 2 | $74 | $74 | $4 | 5% | — | $70 – $77 |
| 18 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $72 | $72 | $6 | 8% | — | $66 – $77 |
| 19 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $54 | $54 | $6 | 11% | — | $48 – $60 |
| 20 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 21 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 22 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 24 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting CPT 90674 · Snapshot 20261112T181611Z-3fa9fb76