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
$67
Average
$406
Median
$306
High
$1.3k
Each hospital's average Kaiser rate, under the methodology and billing class chosen below.
33 hospitals; the 90th percentile is 12.5× 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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42 hospital rates
iThe hospitals that file a Kaiser 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 | KAISER FOUNDATION HOSPITAL - MOANALUA HONOLULU, HI percent of total billed charges · bothfrom % of charges | 2 | $406 | $406 | $203 | 50% | 13–22 | $203 – $609 |
| 2 | KAISER FOUNDATION HOSPITAL - RICHMOND CAMPUS Richmond, CA percent of total billed charges · bothfrom % of charges | 2 | $128 | $128 | $61 | 48% | 2–20 | $67 – $189 |
| 3 | KAISER FOUNDATION HOSPITAL - ANTIOCH ANTIOCH, CA percent of total billed charges · bothfrom % of charges | 1 | $67 | $67 | — | — | 1–10 | $67 – $67 |
| 4 | KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Oakland, CA percent of total billed charges · bothfrom % of charges | 1 | $67 | $67 | — | — | 1–10 | $67 – $67 |
| 5 | KAISER FOUNDATION HOSPITAL - SAN DIEGO - ZION SAN DIEGO, CA percent of total billed charges · bothfrom % of charges | 1 | $192 | $192 | — | — | 1–10 | $192 – $192 |
| 6 | KAISER FOUNDATION HOSPITAL - SAN FRANCISCO SAN FRANCISCO, CA percent of total billed charges · bothfrom % of charges | 1 | $67 | $67 | — | — | 1–10 | $67 – $67 |
| 7 | KAISER FOUNDATION HOSPITAL - SAN JOSE SAN JOSE, CA percent of total billed charges · bothfrom % of charges | 1 | $67 | $67 | — | — | 1–10 | $67 – $67 |
| 8 | KAISER FOUNDATION HOSPITAL - SAN LEANDRO SAN LEANDRO, CA percent of total billed charges · bothfrom % of charges | 1 | $189 | $189 | — | — | 1–10 | $189 – $189 |
| 9 | KAISER FOUNDATION HOSPITAL - SAN MARCOS SAN MARCOS, CA percent of total billed charges · bothfrom % of charges | 1 | $192 | $192 | — | — | 1–10 | $192 – $192 |
| 10 | KAISER FOUNDATION HOSPITAL - SANTA ROSA SANTA ROSA, CA percent of total billed charges · bothfrom % of charges | 1 | $67 | $67 | — | — | 1–10 | $67 – $67 |
| 11 | KAISER FOUNDATION HOSPITAL - WALNUT CREEK WALNUT CREEK, CA percent of total billed charges · bothfrom % of charges | 1 | $67 | $67 | — | — | 1–10 | $67 – $67 |
| 12 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $453 | $688 | $332 | 48% | — | $453 – $1.2k |
| 13 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 14 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · inpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $674 | $674 | — | — | — | $674 – $674 |
| 17 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 18 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 19 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 2 | $289 | $289 | $5 | 2% | — | $284 – $294 |
| 20 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 1 | $298 | $298 | — | — | — | $298 – $298 |
| 21 | Eisenhower Medical Center Rancho Mirage, CA percent of total billed charges · bothfrom % of charges | 19 | $970 | $893 | $81 | 9% | — | $808 – $970 |
| 22 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $625 | $625 | — | — | — | $625 – $625 |
| 23 | MARK TWAIN MEDICAL CENTER San Andreas, CA fee schedule · inpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 24 | MARK TWAIN MEDICAL CENTER San Andreas, CA fee schedule · outpatient | 2 | $799 | $799 | $426 | 53% | — | $373 – $1.2k |
| 25 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $296 | $296 | $27 | 9% | — | $269 – $323 |
← Payers reporting CPT 90679 · Snapshot 20261112T181611Z-3fa9fb76