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
$11
Average
$349
Median
$322
High
$2.1k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
45 hospitals; the 90th percentile is 5.2× 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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62 hospital rates
iThe hospitals that file a Highmark 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 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $441 | $441 | — | — | 1–10 | $441 – $441 |
| 2 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 8 | $512 | $512 | $123 | 24% | — | $388 – $635 |
| 3 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $427 | $427 | — | — | — | $427 – $427 |
| 4 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 12 | $427 | $392 | $114 | 29% | — | $14 – $427 |
| 5 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $425 | $425 | — | — | — | $425 – $425 |
| 6 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $427 | $427 | — | — | — | $427 – $427 |
| 7 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 12 | $427 | $392 | $114 | 29% | — | $14 – $427 |
| 8 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 9 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 10 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $83 | $83 | — | — | — | $83 – $83 |
| 11 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 12 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $83 | $83 | — | — | — | $83 – $83 |
| 13 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 14 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 15 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 2 | $294 | $291 | $5 | 2% | — | $284 – $294 |
| 16 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $425 | $425 | — | — | — | $425 – $425 |
| 17 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · both | 7 | $349 | $241 | $160 | 66% | — | $42 – $404 |
| 18 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 3 | $349 | $346 | $20 | 6% | — | $314 – $370 |
| 19 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient | 11 | $427 | $427 | — | — | — | $427 – $427 |
| 20 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 12 | $427 | $392 | $114 | 29% | — | $14 – $427 |
| 21 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $83 | $83 | — | — | — | $83 – $83 |
| 22 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · inpatient | 11 | $427 | $427 | — | — | — | $427 – $427 |
| 23 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 12 | $427 | $392 | $114 | 29% | — | $14 – $427 |
| 24 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 25 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · fee schedule · both | 1 | $306 | $306 | — | — | — | $306 – $306 |
← Payers reporting CPT 90679 · Snapshot 20261112T181611Z-3fa9fb76