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
$195
Average
$383
Median
$294
High
$876
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
33 hospitals; the 90th percentile is 2.5× 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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50 hospital rates
iThe hospitals that file a Healthpartners 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 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $868 | $868 | — | — | — | $868 – $868 |
| 2 | Aspirus Wausau Hospital Wausau, WI fee schedule · both | 1 | $778 | $778 | — | — | — | $778 – $778 |
| 3 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI fee schedule · both | 1 | $280 | $280 | — | — | — | $280 – $280 |
| 4 | Avera Behavioral Health Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $515 | $515 | — | — | — | $515 – $515 |
| 5 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $515 | $515 | — | — | — | $515 – $515 |
| 6 | Avera Specialty Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $515 | $515 | — | — | — | $515 – $515 |
| 7 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $453 | $688 | $332 | 48% | — | $453 – $1.2k |
| 8 | Black River Health Inc Black River Falls, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $876 | $876 | $17 | 2% | — | $858 – $893 |
| 9 | Bowdle Healthcare Center Bowdle, SD percent of total billed charges · inpatientfrom % of charges | 1 | $468 | $468 | — | — | — | $468 – $468 |
| 10 | Bowdle Healthcare Center Bowdle, SD percent of total billed charges · outpatientfrom % of charges | 1 | $468 | $468 | — | — | — | $468 – $468 |
| 11 | GLENCOE REGIONAL HEALTH SERVICES Glencoe, MN professional · fee schedule · both | 3 | $280 | $277 | $4 | 1% | — | $272 – $280 |
| 12 | GLENCOE REGIONAL HEALTH SERVICES Glencoe, MN professional · fee schedule · outpatient | 5 | $280 | $281 | $7 | 3% | — | $272 – $294 |
| 13 | HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA percent of total billed charges · bothfrom % of charges | 1 | $670 | $670 | — | — | — | $670 – $670 |
| 14 | HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA percent of total billed charges · outpatientfrom % of charges | 1 | $326 | $326 | — | — | — | $326 – $326 |
| 15 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $258 | $258 | $11 | 4% | — | $248 – $269 |
| 16 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 3 | $238 | $245 | $159 | 65% | — | $87 – $418 |
| 17 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 3 | $397 | $394 | $4 | 1% | — | $389 – $397 |
| 18 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 3 | $238 | $245 | $159 | 65% | — | $87 – $418 |
| 19 | Mayo Clinic Health System Lake City 55041-1143 professional · percent of total billed charges · outpatientfrom % of charges | 3 | $397 | $394 | $4 | 1% | — | $389 – $397 |
| 20 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 3 | $238 | $245 | $159 | 65% | — | $87 – $418 |
| 21 | Mayo Clinic Health System Saint James 56081-5550 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $397 | $397 | — | — | — | $397 – $397 |
| 22 | Mayo Clinic Health System Fairmont 56031-4575 facility · percent of total billed charges · bothfrom % of charges | 3 | $238 | $245 | $159 | 65% | — | $87 – $418 |
| 23 | Mayo Clinic Health System Fairmont 56031-4575 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $397 | $397 | — | — | — | $397 – $397 |
| 24 | Mayo Clinic Health System Osseo, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $246 | $246 | $159 | 65% | — | $87 – $405 |
| 25 | Mayo Clinic Health System Osseo, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $393 | $393 | — | — | — | $393 – $393 |
← Payers reporting CPT 90679 · Snapshot 20261112T181611Z-3fa9fb76