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
$58
Average
$140
Median
$131
High
$916
Each hospital's average Sanford Health Plan rate, under the methodology and billing class chosen below.
53 hospitals; the 90th percentile is 2.9× 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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95 hospital rates
iThe hospitals that file a Sanford Health Plan 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 | Sanford Bemidji Medical Center Bemidji, MN percent of total billed charges · outpatientfrom % of charges | 4 | $65 | $65 | $7 | 10% | 1–10 | $56 – $75 |
| 2 | Sanford Worthington Medical Center Worthington, MN percent of total billed charges · outpatientfrom % of charges | 4 | $59 | $59 | $5 | 8% | 1–10 | $54 – $64 |
| 3 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 4 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 5 | GARRISON MEMORIAL HOSPITAL Garrison, ND fee schedule · inpatient | 1 | $77 | $77 | $38 | 50% | — | $39 – $115 |
| 6 | GARRISON MEMORIAL HOSPITAL Garrison, ND fee schedule · outpatient | 1 | $77 | $77 | $38 | 50% | — | $39 – $115 |
| 7 | International Falls Memorial Hospital Association International Falls, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $205 | $177 | $40 | 23% | — | $120 – $205 |
| 8 | International Falls Memorial Hospital Association International Falls, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $205 | $177 | $40 | 23% | — | $120 – $205 |
| 9 | LAKEWOOD HEALTH CENTER Baudette, MN fee schedule · inpatient | 1 | $382 | $382 | — | — | — | $382 – $382 |
| 10 | LAKEWOOD HEALTH CENTER Baudette, MN fee schedule · outpatient | 1 | $382 | $382 | — | — | — | $382 – $382 |
| 11 | Linton Regional Medical Center dba Linton Regional Medical Center Linton, ND percent of total billed charges · outpatientfrom % of charges | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 12 | MERCY MEDICAL CENTER Williston, ND fee schedule · inpatient | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 13 | MERCY MEDICAL CENTER Williston, ND fee schedule · outpatient | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 14 | Marshfield Medical Center - Dickinson Iron Mountain, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 15 | Marshfield Medical Center - Dickinson Iron Mountain, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 16 | Marshfield Medical Center - Eau Claire Eau Claire, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $63 | $63 | $21 | 33% | — | $42 – $84 |
| 17 | Marshfield Medical Center - Eau Claire Eau Claire, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | $21 | 33% | — | $42 – $84 |
| 18 | Marshfield Medical Center - Ladysmith Ladysmith, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $63 | $63 | $21 | 33% | — | $42 – $84 |
| 19 | Marshfield Medical Center - Ladysmith Ladysmith, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | $21 | 33% | — | $42 – $84 |
| 20 | Marshfield Medical Center - Marshfield Marshfield, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $63 | $63 | $21 | 33% | — | $42 – $84 |
| 21 | Marshfield Medical Center - Marshfield Marshfield, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | $21 | 33% | — | $42 – $84 |
| 22 | Marshfield Medical Center - Minocqua Minocqua, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $63 | $63 | $21 | 33% | — | $42 – $84 |
| 23 | Marshfield Medical Center - Minocqua Minocqua, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | $21 | 33% | — | $42 – $84 |
| 24 | Marshfield Medical Center - Neillsville Neillsville, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $63 | $63 | $21 | 33% | — | $42 – $84 |
| 25 | Marshfield Medical Center - Neillsville Neillsville, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | $21 | 33% | — | $42 – $84 |
← Payers reporting CPT 90680 · Snapshot 20261113T090226Z-3ce6c0b8