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
$3
Average
$79
Median
$31
High
$1.1k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 13.9× 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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28 hospital rates
iThe hospitals that file a Medicare 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 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 2 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 3 | Benefis Hospitals Inc Helena, MT percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | $5 | 21% | — | $18 – $28 |
| 4 | Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient | 2 | $58 | $58 | — | — | — | $58 – $58 |
| 5 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 2 | $33 | $33 | — | — | — | $33 – $33 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | $14 | 36% | — | $25 – $53 |
| 7 | COMMONSPIRIT KANSAS, INC. Ulysses, KS percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $83 | $30 | 36% | — | $53 – $113 |
| 8 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 9 | Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient | 2 | $49 | $49 | $23 | 47% | — | $26 – $72 |
| 10 | Fairview Hospital Great Barrington, MA professional · fee schedule · outpatient | 2 | $33 | $33 | — | — | — | $33 – $33 |
| 11 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 12 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $35 | $35 | $1 | 4% | — | $33 – $36 |
| 13 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 14 | METHODIST NORTH HOSPITAL MEMPHIS, TN percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 15 | METHODIST SOUTH HOSPITAL MEMPHIS, TN percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 16 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 17 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 18 | SAN MIGUEL HOSPITAL CORPORATION LAS VEGAS, NM percent of total billed charges · bothfrom % of charges | 6 | $9 | $9 | $0 | 5% | — | $8 – $9 |
| 19 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · bothfrom % of charges | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 20 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS other · both | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 21 | Sharp Chula Vista Medical Center Chula Vista, CA percent of total billed charges · inpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 22 | Sharp Chula Vista Medical Center Chula Vista, CA percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 23 | Sharp Coronado Hospital and Healthcare Center Coronado, CA percent of total billed charges · inpatientfrom % of charges | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 24 | Sharp Memorial Hospital San Diego, CA percent of total billed charges · inpatientfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 25 | Sharp Mesa Vista Hospital San Diego, CA percent of total billed charges · inpatientfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
← Payers reporting CPT 90674 · Snapshot 20261112T181611Z-3fa9fb76