Cell-culture flu vaccine, 0.5 mL shot

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Cciiv4 vac no prsv 0.5 ml im

Tricare pricing summary

Low

Average

$1.6k

Median

$68

High

$37.5k

Tricare rate distribution

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26 hospital rates

#		Plans
1	Anderson Hospital Maryville, IL facility · fee schedule · outpatient	1	$37.5k	$37.5k	—	—	—	$37.5k – $37.5k
2	Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient	1	$193	$193	—	—	—	$193 – $193
3	Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient	1	$68	$68	—	—	—	$68 – $68
4	Benefis Hospitals Inc Helena, MT fee schedule · outpatient	1	$34	$34	—	—	—	$34 – $34
5	CentraState Medical Center Freehold Township, NJ fee schedule · outpatient	2	$79	$79	$4	5%	—	$75 – $83
6	Chilton Medical Center Pompton Plains, NJ fee schedule · outpatient	2	$83	$83	$2	2%	—	$81 – $84
7	East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient	1	$142	$142	—	—	—	$142 – $142
8	Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient	1	$25	$25	—	—	—	$25 – $25
9	GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both	1	$17	$17	—	—	—	$17 – $17
10	Hackettstown Medical Center Hackettstown, NJ fee schedule · outpatient	2	$83	$83	$2	2%	—	$81 – $84
11	Hospital Authority of Colquitt County Moultrie, GA fee schedule · both	1	$32	$32	—	—	—	$32 – $32
12	Kaweah Health Rehabilitation Hospital Visalia, CA facility · fee schedule · outpatient	1	$108	$108	—	—	—	$108 – $108
13	Lancaster General Health Lancaster, PA facility · fee schedule · outpatient	1	$47	$47	$2	4%	—	$45 – $49
14	Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both	1	$0	$0	—	—	—	$0 – $0
15	Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient	1	$17	$17	—	—	—	$17 – $17
16	Morristown Medical Center Morristown, NJ fee schedule · outpatient	2	$116	$116	$2	2%	—	$114 – $118
17	NORTHERN MAINE MEDICAL CENTER FORT KENT, ME other · both	1	$39	$39	—	—	—	$39 – $39
18	NORTHERN MAINE MEDICAL CENTER FORT KENT, ME other · outpatient	1	$34	$34	$2	6%	—	$32 – $36
19	Newton Medical Center Newton, NJ fee schedule · outpatient	2	$83	$83	$2	2%	—	$81 – $84
20	North Adams Regional Hospital North Adams, MA facility · fee schedule · outpatient	1	$75	$75	—	—	—	$75 – $75
21	OCHSNER BAYOU LLC Raceland, LA percent of total billed charges · outpatientfrom % of charges	1	$19	$19	$1	5%	—	$18 – $20
22	OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY facility · other · outpatient	1	$90	$90	—	—	—	$90 – $90
23	Overlook Medical Center Summit, NJ fee schedule · outpatient	2	$505	$505	$10	2%	—	$495 – $515
24	St. Charles Madras Madras, OR percent of total billed charges · bothfrom % of charges	1	$11	$11	—	—	—	$11 – $11
25	The Toledo Hospital Maumee, OH facility · fee schedule · outpatient	1	$68	$68	—	—	—	$68 – $68