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
$6
Average
$45
Median
$21
High
$559
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
77 hospitals; the 90th percentile is 9.3× 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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80 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 2 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 2 | $36 | $36 | $25 | 69% | — | $11 – $61 |
| 3 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 4 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 5 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 6 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 7 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 8 | Bay Park Community Hospital Oregon, OH facility · other · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 9 | Caldwell Memorial Hospital Lenoir, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 10 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 11 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 12 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 13 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 14 | CentraState Medical Center Freehold Township, NJ other · outpatient | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 15 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 16 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 17 | East Liverpool City Hospital Liverpool, OH fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 18 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 19 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 20 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 21 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 2 | $32 | $33 | $3 | 9% | — | $30 – $37 |
| 22 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 23 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 24 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $25 | $25 | $4 | 17% | — | $21 – $29 |
| 25 | Morristown Medical Center Morristown, NJ other · outpatient | 1 | $151 | $151 | — | — | — | $151 – $151 |
← Payers reporting CPT 90674 · Snapshot 20261112T181611Z-3fa9fb76