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
$1
Average
$439
Median
$284
High
$1.6k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
54 hospitals; the 90th percentile is 87.6× 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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62 hospital rates
iThe hospitals that file a Medicaid 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 | Tufts Medical Center BOSTON, MA other · both | 1 | $1.0k | $1.0k | — | — | 22 | $1.0k – $1.0k |
| 2 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $981 | $981 | — | — | — | $981 – $981 |
| 3 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $630 | $630 | $475 | 75% | — | $155 – $1.1k |
| 4 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 5 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 6 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $239 | $237 | $17 | 7% | — | $213 – $258 |
| 7 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $193 | $192 | $13 | 7% | — | $172 – $209 |
| 8 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $275 | $275 | — | — | — | $275 – $275 |
| 9 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $275 | $275 | — | — | — | $275 – $275 |
| 10 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $275 | $275 | — | — | — | $275 – $275 |
| 11 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $17 | $17 | $1 | 5% | — | $16 – $18 |
| 12 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $17 | $17 | $1 | 5% | — | $16 – $18 |
| 13 | Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 14 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 15 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 16 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $299 | $299 | — | — | — | $299 – $299 |
| 17 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $299 | $299 | — | — | — | $299 – $299 |
| 18 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 2 | $16 | $16 | $1 | 5% | — | $16 – $17 |
| 19 | FISHERMENS HEALTH, INC MARATHON, FL fee schedule · both | 2 | $16 | $16 | $1 | 5% | — | $16 – $17 |
| 20 | Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient | 2 | $48 | $48 | — | — | — | $48 – $48 |
| 21 | HMA Santa Rosa Medical Center LLC Milton, FL facility · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 22 | HOMESTEAD HOSPITAL Homestead, FL fee schedule · both | 2 | $16 | $16 | $1 | 5% | — | $16 – $17 |
| 23 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 24 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $1.6k | $1.6k | $106 | 7% | — | $1.5k – $1.7k |
| 25 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
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