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
Rv5 Vaccine 3 Dose Schedule Live for Oral Use
Low
$0
Average
$185
Median
$133
High
$5.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
696 hospitals; the 90th percentile is 5.4× 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.
Filter by billing methodology
Filter by billing class
1,091 hospital rates
iThe hospitals that file a Aetna 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 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $388 | $388 | — | — | 1,711 | $388 – $388 |
| 2 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $152 | $152 | — | — | 88 | $152 – $152 |
| 3 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $120 | $120 | $3 | 2% | 66 | $118 – $123 |
| 4 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $200 | $200 | $12 | 6% | 50 | $188 – $212 |
| 5 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $152 | $152 | — | — | 40 | $152 – $152 |
| 6 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $152 | $152 | — | — | 37 | $152 – $152 |
| 7 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $152 | $152 | — | — | 32 | $152 – $152 |
| 8 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $131 | $131 | — | — | 19 | $131 – $131 |
| 9 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 2 | $48 | $48 | $48 | 100% | 14 | $0 – $95 |
| 10 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | $49 | 79% | 11 | $13 – $112 |
| 11 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $132 | $132 | — | — | 11 | $132 – $132 |
| 12 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $141 | $141 | $24 | 17% | 11 | $116 – $165 |
| 13 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $155 | $201 | $105 | 52% | 4–40 | $113 – $405 |
| 14 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $147 | $190 | $100 | 52% | 4–40 | $107 – $383 |
| 15 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $235 | $237 | $8 | 3% | 3–30 | $229 – $247 |
| 16 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $260 | $260 | $175 | 67% | 2–20 | $86 – $435 |
| 17 | NYU Langone Mineola, NY percent of total billed charges · outpatientfrom % of charges | 25 | $597 | $613 | $78 | 13% | 2–20 | $597 – $994 |
| 18 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 2 | $181 | $169 | $16 | 10% | 2–20 | $147 – $181 |
| 19 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 2 | $181 | $169 | $16 | 10% | 2–20 | $147 – $181 |
| 20 | Pagosa Springs Medical Center Springs, CO percent of total billed charges · outpatientfrom % of charges | 2 | $40 | $57 | $62 | 109% | 2–20 | $0 – $149 |
| 21 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 12 | $133 | $135 | $39 | 29% | 2–20 | $54 – $214 |
| 22 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | 1–10 | $122 – $122 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · inpatientfrom % of charges | 1 | $486 | $486 | $29 | 6% | 1–10 | $457 – $514 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 2 | $457 | $352 | $190 | 54% | 1–10 | $86 – $514 |
| 25 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $152 | $152 | — | — | 1–10 | $152 – $152 |
← Payers reporting CPT 90680 · Snapshot 20261111T120946Z-9134e7f7