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
$298
Average
$349
Median
$306
High
$672
Each hospital's average Regence rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 1.3× 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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26 hospital rates
iThe hospitals that file a Regence 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 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $379 | $379 | — | — | — | $379 – $379 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 3 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 4 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 5 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 2 | $672 | $672 | $3 | 0% | — | $669 – $674 |
| 6 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 7 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 8 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $294 | $294 | — | — | — | $294 – $294 |
| 9 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $379 | $379 | — | — | — | $379 – $379 |
| 10 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 1 | $404 | $404 | — | — | — | $404 – $404 |
| 11 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 12 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · fee schedule · both | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 13 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · both | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 14 | Mercy Medical Center - Dyersville Dyersville, IA facility · fee schedule · both | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 15 | Mercy Medical Center - New Hampton New Hampton, IA facility · fee schedule · both | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 16 | Mercy Medical Center - Newton Newton, IA facility · fee schedule · both | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 17 | Mercy Medical Center-Clinton Inc Clinton, IA facility · fee schedule · both | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 18 | Samaritan Hospital Troy, NY facility · fee schedule · both | 1 | $331 | $331 | — | — | — | $331 – $331 |
| 19 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $543 | $543 | — | — | — | $543 – $543 |
| 20 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $441 | $441 | — | — | — | $441 – $441 |
| 21 | Sartori Memorial Hospital Inc Cedar Falls, IA facility · fee schedule · both | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 22 | St Josephs Hospital Health Center Syracuse, NY facility · fee schedule · both | 1 | $322 | $322 | — | — | — | $322 – $322 |
| 23 | St. Joseph's Mercy Hospital, Centerville Centerville, IA facility · fee schedule · both | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 24 | St. Joseph's Mercy Hospital, Centerville Centerville, IA professional · fee schedule · inpatient | 1 | $294 | $294 | — | — | — | $294 – $294 |
| 25 | St. Joseph's Mercy Hospital, Centerville Centerville, IA professional · fee schedule · outpatient | 1 | $294 | $294 | — | — | — | $294 – $294 |
← Payers reporting CPT 90679 · Snapshot 20261112T181611Z-3fa9fb76