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
$120
Median
$36
High
$11.6k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
643 hospitals; the 90th percentile is 6.7× 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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920 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | 1–10 | $105 – $105 |
| 2 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | 1–10 | $105 – $105 |
| 3 | Essentia Health Virginia 901 9th St N Virginia, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | — | — | 1–10 | $28 – $28 |
| 4 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | — | — | 1–10 | $18 – $18 |
| 5 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | — | — | 1–10 | $18 – $18 |
| 6 | Mease Countryside Hospital Harbor, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | 1–10 | $105 – $105 |
| 7 | Mease Dunedin Hospital Dunedin, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | 1–10 | $105 – $105 |
| 8 | Morton Plant Hospital Clearwater, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | 1–10 | $105 – $105 |
| 9 | Morton Plant NorthBay Hospital Lutz, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | 1–10 | $105 – $105 |
| 10 | Newark Beth Israel Medical Center Newark, NJ percent of total billed charges · outpatientfrom % of charges | 4 | $24 | $20 | $10 | 50% | 1–10 | $0 – $24 |
| 11 | South Florida Baptist Hospital City, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | 1–10 | $105 – $105 |
| 12 | St. Joseph's Hospital Tampa, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | 1–10 | $105 – $105 |
| 13 | Winter Haven Hospital Haven, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | 1–10 | $105 – $105 |
| 14 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $75 | $87 | $46 | 52% | — | $39 – $149 |
| 15 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $249 | $249 | — | — | — | $249 – $249 |
| 16 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 2 | $184 | $184 | $5 | 3% | — | $179 – $188 |
| 17 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $41 | $59 | $26 | 44% | — | $41 – $96 |
| 18 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $46 | $46 | $1 | 3% | — | $45 – $47 |
| 19 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 2 | $41 | $41 | — | — | — | $41 – $41 |
| 20 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 21 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 22 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 3 | $45 | $44 | $4 | 8% | — | $39 – $49 |
| 23 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 24 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 25 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
← Payers reporting CPT 90674 · Snapshot 20261112T181611Z-3fa9fb76