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
RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML IM SOLR [188587]
Low
$30
Average
$1.0k
Median
$443
High
$8.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
57 payers; the 90th percentile is 10.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +27 other terms | 422 | $632 | $619 | $334 | 54% | 127–136 | $0 – $2.8k |
| 2 | Humana fee schedule · outpatient · +21 other terms | 114 | $303 | $376 | $223 | 59% | 55 | $0 – $1.1k |
| 3 | Wellmark fee schedule · outpatient · +14 other terms | 23 | $307 | $299 | $42 | 14% | 50 | $68 – $307 |
| 4 | Bcbs Mt percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | $16 | 4% | 4–40 | $390 – $428 |
| 5 | Superior Healthplan other · outpatient · +2 other terms | 1 | $394 | $394 | — | — | 2–20 | $394 – $394 |
| 6 | Cigna fee schedule · outpatient · +22 other terms | 217 | $535 | $959 | $608 | 63% | — | $83 – $2.9k |
| 7 | Blue Cross Blue Shield fee schedule · outpatient · +24 other terms | 196 | $544 | $662 | $371 | 56% | — | $1 – $2.0k |
| 8 | Aetna fee schedule · outpatient · +26 other terms | 103 | $360 | $716 | $710 | 99% | — | $1 – $8.4k |
| 9 | Anthem fee schedule · outpatient · +22 other terms | 68 | $337 | $427 | $256 | 60% | — | $187 – $2.8k |
| 10 | Molina facility · case rate · outpatient · +26 other terms | 39 | $20 | $16 | $6 | 41% | — | $6 – $36 |
| 11 | Caresource fee schedule · outpatient · +17 other terms | 38 | $313 | $168 | $124 | 74% | — | $1 – $360 |
| 12 | Medica fee schedule · outpatient · +16 other terms | 31 | $499 | $557 | $245 | 44% | — | $0 – $1.0k |
| 13 | Bcbs Tx fee schedule · outpatient · +2 other terms | 30 | $942 | $856 | $286 | 33% | — | $350 – $1.5k |
| 14 | Tricare facility · fee schedule · outpatient · +14 other terms | 30 | $325 | $415 | $328 | 79% | — | $309 – $1.6k |
| 15 | Amerihealth Caritas facility · fee schedule · outpatient · +14 other terms | 28 | $14 | $24 | $54 | 226% | — | $10 – $358 |
| 16 | Medcost facility · percent of total billed charges · bothfrom % of charges · +7 other terms | 25 | $357 | $349 | $116 | 33% | — | $132 – $701 |
| 17 | Highmark facility · fee schedule · outpatient · +15 other terms | 23 | $365 | $1.3k | $1.5k | 116% | — | $11 – $6.1k |
| 18 | Carefirst facility · fee schedule · both · +10 other terms | 19 | $307 | $401 | $195 | 49% | — | $307 – $1.0k |
| 19 | Excellus facility · fee schedule · both · +14 other terms | 19 | $307 | $388 | $182 | 47% | — | $307 – $1.0k |
| 20 | Premera facility · fee schedule · both · +10 other terms | 19 | $307 | $402 | $196 | 49% | — | $307 – $1.0k |
| 21 | Regence facility · fee schedule · both · +12 other terms | 19 | $307 | $402 | $196 | 49% | — | $307 – $1.0k |
| 22 | Aetna Better Health fee schedule · outpatient · +14 other terms | 18 | $310 | $302 | $67 | 22% | — | $34 – $347 |
| 23 | Beechstreet percent of total billed charges · inpatientfrom % of charges · +2 other terms | 16 | $912 | $1.1k | $409 | 39% | — | $677 – $2.1k |
| 24 | Medicaid fee schedule · both · +12 other terms | 16 | $112 | $184 | $242 | 132% | — | $16 – $559 |
| 25 | Devoted facility · fee schedule · outpatient · +7 other terms | 13 | $1.0k | $1.8k | $4.0k | 221% | — | $110 – $20k |
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