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
$252
Average
$394
Median
$335
High
$794
Each hospital's average Bcbs La rate, under the methodology and billing class chosen below.
5 hospitals; the 90th percentile is 2.4× 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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5 hospital rates
iThe hospitals that file a Bcbs La 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 | Central Louisiana Surgical Hospital Alexandria, LA fee schedule · outpatient | 2 | $335 | $335 | — | — | — | $335 – $335 |
| 2 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA percent of total billed charges · outpatientfrom % of charges | 1 | $252 | $252 | — | — | — | $252 – $252 |
| 3 | Ochsner American Legion Hospital, LLC Jennings, LA other · outpatient | 1 | $794 | $794 | — | — | — | $794 – $794 |
| 4 | Opelousas General Main Campus Opelousas, LA facility · fee schedule · outpatient | 4 | $335 | $335 | — | — | — | $335 – $335 |
| 5 | University Hospital & Clinics, Inc. Lafayette, LA percent of total billed charges · outpatientfrom % of charges | 1 | $252 | $252 | — | — | — | $252 – $252 |
← Payers reporting CPT 90679 · Snapshot 20261112T181611Z-3fa9fb76