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
$264
Median
$142
High
$8.8k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
603 hospitals; the 90th percentile is 4.9× 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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803 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | 3 | $118 | $147 | $44 | 30% | 2,876 | $113 – $209 |
| 2 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $130 | $130 | $8 | 6% | 516–534 | $122 – $138 |
| 3 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 10 | $124 | $128 | $6 | 5% | 351–369 | $121 – $138 |
| 4 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 2 | $176 | $176 | $11 | 6% | 310–319 | $166 – $187 |
| 5 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 9 | $122 | $107 | $41 | 38% | 284–311 | $21 – $138 |
| 6 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 9 | $122 | $107 | $41 | 38% | 269–287 | $21 – $138 |
| 7 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $141 | $141 | $12 | 8% | 232–241 | $130 – $153 |
| 8 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 1 | $139 | $139 | — | — | 211 | $139 – $139 |
| 9 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $137 | $137 | — | — | 113 | $137 – $137 |
| 10 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | $60 | 79% | 94 | $16 – $136 |
| 11 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 1 | $138 | $138 | — | — | 63 | $138 – $138 |
| 12 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | — | — | 58 | $100 – $100 |
| 13 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 6 | $110 | $116 | $15 | 13% | 49 | $102 – $138 |
| 14 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 4 | $132 | $133 | $4 | 3% | 43 | $128 – $138 |
| 15 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $131 | $131 | — | — | 37 | $131 – $131 |
| 16 | Mayo Clinic Health System Sparta, WI professional · percent of total billed charges · outpatientfrom % of charges | 7 | $128 | $129 | $6 | 5% | 35–44 | $117 – $138 |
| 17 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $135 | $119 | $34 | 28% | 32 | $51 – $141 |
| 18 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $135 | $118 | $36 | 31% | 31 | $44 – $141 |
| 19 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 2 | $82 | $82 | $52 | 64% | 22 | $30 – $135 |
| 20 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 3 | $86 | $108 | $42 | 39% | 20–38 | $72 – $166 |
| 21 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 3 | $86 | $108 | $42 | 39% | 20–38 | $72 – $166 |
| 22 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 1 | $138 | $138 | — | — | 19 | $138 – $138 |
| 23 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC fee schedule · both | 2 | $146 | $146 | $39 | 27% | 19–28 | $107 – $185 |
| 24 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC fee schedule · both | 2 | $146 | $146 | $39 | 27% | 19–28 | $107 – $185 |
| 25 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $135 | $118 | $36 | 31% | 18 | $45 – $141 |
← Payers reporting CPT 90680 · Snapshot 20261111T120946Z-9134e7f7