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
$1
Average
$828
Median
$409
High
$3.1k
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 7.7× 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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30 hospital rates
iThe hospitals that file a Phcs 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 | Bon Secours Community Hospital Jervis, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 2 | Bon Secours Community Hospital Jervis, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 3 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $803 | $803 | — | — | — | $803 – $803 |
| 4 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $803 | $803 | — | — | — | $803 – $803 |
| 5 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Durant HMA LLC Durant, OK facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 8 | Durant HMA LLC Durant, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 9 | Eisenhower Medical Center Rancho Mirage, CA percent of total billed charges · bothfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | Good Samaritan Hospital Suffern, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 11 | Good Samaritan Hospital Suffern, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 12 | La Porte Hospital Company LLC La Porte, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 13 | La Porte Hospital Company LLC La Porte, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 14 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $803 | $803 | — | — | — | $803 – $803 |
| 15 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $803 | $803 | — | — | — | $803 – $803 |
| 16 | Pana Community Hospital Association Pana, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $344 | $344 | — | — | — | $344 – $344 |
| 17 | Poplar Bluff Regional Medical Center LLC Poplar Bluff, MO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 18 | Poplar Bluff Regional Medical Center LLC Poplar Bluff, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 19 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · bothfrom % of charges | 1 | $874 | $874 | $118 | 14% | — | $756 – $993 |
| 20 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $437 | $437 | — | — | — | $437 – $437 |
| 21 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $543 | $543 | — | — | — | $543 – $543 |
| 22 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $441 | $441 | — | — | — | $441 – $441 |
| 23 | St Anthony Community Hospital Warwick, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 24 | St Anthony Community Hospital Warwick, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 25 | St Josephs Hospital Health Center Syracuse, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $581 | $581 | — | — | — | $581 – $581 |
← Payers reporting CPT 90679 · Snapshot 20261112T181611Z-3fa9fb76