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
$61
Median
$44
High
$1.4k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
446 hospitals; the 90th percentile is 4.9× 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.
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574 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Essentia Health Virginia 901 9th St N Virginia, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | — | — | 2–20 | $28 – $28 |
| 2 | Humboldt County Memorial Hospital Humboldt, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $27 | $27 | $3 | 12% | 1–10 | $23 – $30 |
| 3 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 3 | $48 | $49 | $6 | 12% | — | $43 – $57 |
| 4 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 5 | $49 | $98 | $61 | 63% | — | $47 – $174 |
| 5 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA case rate · outpatient | 2 | $53 | $53 | $3 | 5% | — | $50 – $55 |
| 6 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 7 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 3 | $41 | $36 | $13 | 36% | — | $18 – $48 |
| 8 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 9 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $59 | $77 | $28 | 37% | — | $50 – $111 |
| 10 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $44 | $43 | $1 | 1% | — | $42 – $44 |
| 11 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 3 | $42 | $42 | — | — | — | $42 – $42 |
| 12 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 6 | $50 | $50 | $8 | 16% | — | $42 – $58 |
| 13 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 8 | $31 | $31 | — | — | — | $31 – $31 |
| 14 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · inpatient | 1 | $14 | $14 | $0 | 2% | — | $13 – $14 |
| 15 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 3 | $29 | $27 | $10 | 38% | — | $13 – $39 |
| 16 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 2 | $38 | $38 | $1 | 4% | — | $36 – $40 |
| 17 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 3 | $37 | $34 | $6 | 18% | — | $24 – $40 |
| 18 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · inpatient | 1 | $10 | $10 | $0 | 2% | — | $10 – $10 |
| 19 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 3 | $29 | $26 | $12 | 46% | — | $10 – $39 |
| 20 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 1 | $18 | $18 | $0 | 2% | — | $17 – $18 |
| 21 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · inpatient | 1 | $9 | $9 | $0 | 2% | — | $8 – $9 |
| 22 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 3 | $29 | $25 | $13 | 49% | — | $8 – $39 |
| 23 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient | 1 | $8 | $8 | $0 | 2% | — | $8 – $8 |
| 24 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 3 | $37 | $28 | $14 | 50% | — | $8 – $39 |
| 25 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient | 1 | $8 | $8 | $0 | 2% | — | $8 – $8 |
← Payers reporting CPT 90674 · Snapshot 20261112T181611Z-3fa9fb76