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
$174
Median
$118
High
$2.0k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
272 hospitals; the 90th percentile is 4.5× 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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427 hospital rates
iThe hospitals that file a Anthem 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 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $169 | $174 | $53 | 30% | 182–191 | $108 – $251 |
| 2 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $31 | $46 | $55 | 120% | 50 | $0 – $154 |
| 3 | DIGNITY HEALTH Merced, CA fee schedule · outpatient | 5 | $1 | $1 | $0 | 12% | 2–20 | $1 – $1 |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $132 | $132 | $45 | 34% | — | $87 – $176 |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $50 | $68 | $50 | 75% | — | $23 – $171 |
| 7 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 2 | $108 | $108 | $13 | 12% | — | $95 – $121 |
| 8 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 3 | $98 | $98 | — | — | — | $98 – $98 |
| 10 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $90 | $85 | $14 | 16% | — | $66 – $97 |
| 11 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 12 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 4 | $215 | $222 | $30 | 14% | — | $193 – $264 |
| 13 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 14 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 15 | Appalachian Regional Healthcare, Inc. Hazard, KY fee schedule · outpatient | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 16 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 17 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 12 | $95 | $109 | $44 | 40% | — | $95 – $255 |
| 18 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 3 | $101 | $72 | $40 | 56% | — | $15 – $101 |
| 19 | Aurora BayCare Medical Center Green Bay, WI fee schedule · outpatient | 2 | $109 | $109 | $10 | 9% | — | $99 – $119 |
| 20 | Aurora Lakeland Medical Center Elkhorn, WI fee schedule · outpatient | 2 | $109 | $109 | $10 | 9% | — | $99 – $119 |
| 21 | Aurora Medical Center Bay Area Marinette, WI fee schedule · outpatient | 3 | $119 | $112 | $9 | 8% | — | $99 – $119 |
| 22 | Aurora Medical Center Burlington Burlington, WI fee schedule · outpatient | 2 | $109 | $109 | $10 | 9% | — | $99 – $119 |
| 23 | Aurora Medical Center Fond du Lac Fond Du Lac, WI fee schedule · outpatient | 2 | $109 | $109 | $10 | 9% | — | $99 – $119 |
| 24 | Aurora Medical Center Grafton Grafton, WI fee schedule · outpatient | 2 | $109 | $109 | $10 | 9% | — | $99 – $119 |
| 25 | Aurora Medical Center Kenosha Kenosha, WI fee schedule · outpatient | 2 | $109 | $109 | $10 | 9% | — | $99 – $119 |
← Payers reporting CPT 90680 · Snapshot 20261111T120946Z-9134e7f7