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
HC Fac Arexvy Respiratory Syncytial Virus Vaccine Adjuvanted 60 Years and Older 120mcg/0.5ml
Low
$89
Average
$581
Median
$479
High
$4.7k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
339 hospitals; the 90th percentile is 3.2× 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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430 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $343 | $343 | — | — | 41 | $343 – $343 |
| 2 | ROBERT PACKER HOSPITAL Sayre, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $63 | $63 | — | — | 39 | $63 – $63 |
| 3 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $465 | $441 | $78 | 18% | 4–40 | $317 – $519 |
| 4 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $563 | $535 | $94 | 18% | 4–40 | $384 – $629 |
| 5 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $441 | $441 | — | — | 3–30 | $441 – $441 |
| 6 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $368 | $368 | — | — | 1–10 | $368 – $368 |
| 7 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $365 | $365 | — | — | 1–10 | $365 – $365 |
| 8 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · inpatient | 4 | $59 | $77 | $28 | 37% | — | $50 – $111 |
| 9 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $59 | $77 | $28 | 37% | — | $50 – $111 |
| 10 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $155 | $153 | $2 | 1% | — | $150 – $155 |
| 11 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 9 | $241 | $215 | $43 | 20% | — | $150 – $248 |
| 12 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 7 | $368 | $282 | $98 | 35% | — | $150 – $379 |
| 13 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 8 | $300 | $300 | — | — | — | $300 – $300 |
| 14 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 7 | $652 | $630 | $122 | 19% | — | $369 – $746 |
| 15 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 2 | $454 | $454 | $12 | 3% | — | $442 – $466 |
| 16 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $550 | $550 | — | — | — | $550 – $550 |
| 17 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $550 | $550 | — | — | — | $550 – $550 |
| 18 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $550 | $550 | — | — | — | $550 – $550 |
| 19 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 1 | $550 | $550 | — | — | — | $550 – $550 |
| 20 | AdventHealth Porter Denver, CO fee schedule · outpatient | 1 | $550 | $550 | — | — | — | $550 – $550 |
| 21 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $900 | $900 | $63 | 7% | — | $837 – $963 |
| 22 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $900 | $900 | $63 | 7% | — | $837 – $963 |
| 23 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $300 | $300 | — | — | — | $300 – $300 |
| 24 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $300 | $300 | — | — | — | $300 – $300 |
| 25 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $300 | $300 | — | — | — | $300 – $300 |
← Payers reporting CPT 90679 · Snapshot 20261112T181611Z-3fa9fb76