RSV vaccine (preF, adjuvanted) injection

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Fac Arexvy Respiratory Syncytial Virus Vaccine Adjuvanted 60 Years and Older 120mcg/0.5ml

Tricare pricing summary

Low

Average

$320

Median

$312

High

$1.6k

Tricare rate distribution

Filter by billing methodology

Filter by billing class

55 hospital rates

#		Plans
1	ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient	2	$420	$420	—	—	39	$420 – $420
2	ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient	4	$312	$312	—	—	—	$312 – $312
3	Anderson Hospital Maryville, IL facility · fee schedule · outpatient	1	$315	$315	—	—	—	$315 – $315
4	Anderson Hospital Maryville, IL professional · other · outpatient	1	$321	$321	—	—	—	$321 – $321
5	Aspirus Wausau Hospital Wausau, WI fee schedule · both	1	$312	$312	—	—	—	$312 – $312
6	Benefis Community Hospitals, Inc Choteau, MT other · both	1	$0	$0	—	—	—	$0 – $0
7	Benefis Hospitals Inc Helena, MT fee schedule · outpatient	1	$297	$297	—	—	—	$297 – $297
8	Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient	1	$308	$308	—	—	—	$308 – $308
9	Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient	1	$325	$325	—	—	—	$325 – $325
10	CORNING HOSPITAL Corning, NY facility · other · outpatient	2	$420	$420	—	—	—	$420 – $420
11	CentraState Medical Center Freehold Township, NJ other · outpatient	2	$83	$83	—	—	—	$83 – $83
12	Chilton Medical Center Pompton Plains, NJ other · outpatient	2	$83	$83	—	—	—	$83 – $83
13	Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both	1	$325	$325	—	—	—	$325 – $325
14	Dukes Health System LLC Peru, IN facility · fee schedule · outpatient	1	$490	$490	—	—	—	$490 – $490
15	Dupont Hospital LLC Wayne, IN facility · fee schedule · outpatient	1	$308	$308	—	—	—	$308 – $308
16	Durant HMA LLC Durant, OK facility · fee schedule · outpatient	1	$325	$325	—	—	—	$325 – $325
17	GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient	1	$420	$420	—	—	—	$420 – $420
18	Glenwood Regional Medical Center - HSA West Monroe, LA facility · fee schedule · outpatient	1	$325	$325	—	—	—	$325 – $325
19	Good Samaritan Hospital Suffern, NY facility · fee schedule · outpatient	1	$325	$325	—	—	—	$325 – $325
20	HMA Santa Rosa Medical Center LLC Milton, FL facility · fee schedule · outpatient	1	$308	$308	—	—	—	$308 – $308
21	HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges	1	$227	$227	—	—	—	$227 – $227
22	HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges	1	$315	$315	—	—	—	$315 – $315
23	HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges	1	$315	$315	—	—	—	$315 – $315
24	Hackettstown Medical Center Hackettstown, NJ other · outpatient	2	$83	$83	—	—	—	$83 – $83
25	IOM Health System LP Fort Wayne, IN facility · fee schedule · outpatient	1	$308	$308	—	—	—	$308 – $308