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
$6
Average
$434
Median
$139
High
$25k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
132 hospitals; the 90th percentile is 43.9× 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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168 hospital rates
iThe hospitals that file a Molina 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 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · bothfrom % of charges | 1 | $389 | $389 | $53 | 14% | 2–20 | $336 – $441 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 3 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | $60 | 5% | — | $1.0k – $1.2k |
| 4 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 1 | $289 | $289 | — | — | — | $289 – $289 |
| 5 | Appalachian Regional Healthcare, Inc. Williamson, KY percent of total billed charges · outpatientfrom % of charges | 1 | $287 | $287 | — | — | — | $287 – $287 |
| 6 | Avita Ontario Hospital Ontario, OH per diem · both | 2 | $4.6k | $4.6k | $1.1k | 23% | — | $3.5k – $5.6k |
| 7 | Avita Ontario Hospital Ontario, OH percent of total billed charges · bothfrom % of charges | 2 | $461 | $461 | $318 | 69% | — | $143 – $780 |
| 8 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $170 | $170 | $138 | 81% | — | $32 – $308 |
| 9 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $634 | $634 | — | — | — | $634 – $634 |
| 10 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $267 | $267 | — | — | — | $267 – $267 |
| 11 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 12 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 13 | Bartow Regional Medical Center Bartow, FL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 14 | BayCare Alliant Hospital Dunedin, FL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 15 | Baycare Hospital Wesley Chapel Chapel, FL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 16 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $307 | $307 | — | — | — | $307 – $307 |
| 17 | Bronson LakeView Hospital Paw Paw, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 18 | Bucyrus Community Hospital Bucyrus, OH per diem · both | 2 | $4.6k | $4.6k | $1.1k | 23% | — | $3.5k – $5.6k |
| 19 | Bucyrus Community Hospital Bucyrus, OH percent of total billed charges · bothfrom % of charges | 2 | $634 | $634 | $146 | 23% | — | $487 – $780 |
| 20 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 21 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 22 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 23 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 24 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 25 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
← Payers reporting CPT 90679 · Snapshot 20261112T181611Z-3fa9fb76