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
Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use
Low
$1
Average
$127
Median
$136
High
$320
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 267.4× 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.
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49 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $81 | $81 | $70 | 86% | — | $11 – $150 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $29 | $116 | $124 | 106% | — | $29 – $291 |
| 3 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $165 | $165 | $127 | 77% | — | $38 – $291 |
| 4 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 5 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 6 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 7 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 8 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $117 | $117 | — | — | — | $117 – $117 |
| 9 | Geisinger Bloomsburg Hospital Bloomsburg, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Geisinger Jersey Shore Hospital Jersey Shore, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · both | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 16 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $3 | $112 | $134 | 119% | — | $3 – $285 |
| 17 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 18 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $67 | $117 | $102 | 87% | — | $44 – $291 |
| 19 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $320 | $320 | $67 | 21% | — | $253 – $388 |
| 20 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $253 | $253 | — | — | — | $253 – $253 |
| 21 | McLeod Health Dillon, SC fee schedule · both | 1 | $267 | $267 | — | — | — | $267 – $267 |
| 22 | McLeod Health Cheraw, SC fee schedule · both | 1 | $267 | $267 | — | — | — | $267 – $267 |
| 23 | McLeod Health Manning, SC fee schedule · both | 1 | $267 | $267 | — | — | — | $267 – $267 |
| 24 | McLeod Health Florence, SC fee schedule · both | 1 | $267 | $267 | — | — | — | $267 – $267 |
| 25 | McLeod Health Beach, SC fee schedule · both | 1 | $267 | $267 | — | — | — | $267 – $267 |
← Payers reporting CPT 90681 · Snapshot 20261111T120946Z-9134e7f7