Rotavirus vaccine (2-dose oral)

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use

Tricare pricing summary

Low

Average

$432

Median

$136

High

$25.1k

Tricare rate distribution

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98 hospital rates

#		Plans
1	ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient	4	$156	$156	—	—	—	$156 – $156
2	AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient	1	$147	$147	—	—	—	$147 – $147
3	AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient	1	$147	$147	—	—	—	$147 – $147
4	Anderson Hospital Maryville, IL facility · fee schedule · outpatient	1	$50k	$50k	—	—	—	$50k – $50k
5	Anderson Hospital Maryville, IL professional · other · outpatient	1	$154	$154	—	—	—	$154 – $154
6	Ascension Via Christi Hospital Manhattan, Inc. Manhattan, KS fee schedule · both	1	$103	$103	—	—	—	$103 – $103
7	Aspirus Divine Savior Hospital Portage, WI fee schedule · both	1	$147	$147	—	—	—	$147 – $147
8	Aspirus Keweenaw Hospital Laurium, MI fee schedule · both	1	$147	$147	—	—	—	$147 – $147
9	Aspirus Medford Hospital Medford, WI fee schedule · both	1	$147	$147	—	—	—	$147 – $147
10	Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both	1	$147	$147	—	—	—	$147 – $147
11	Aspirus Wausau Hospital Wausau, WI fee schedule · both	1	$147	$147	—	—	—	$147 – $147
12	Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI fee schedule · both	1	$147	$147	—	—	—	$147 – $147
13	Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient	1	$136	$136	—	—	—	$136 – $136
14	Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient	1	$136	$136	—	—	—	$136 – $136
15	COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient	4	$156	$156	—	—	—	$156 – $156
16	CentraState Medical Center Freehold Township, NJ other · outpatient	2	$123	$123	—	—	—	$123 – $123
17	Chilton Medical Center Pompton Plains, NJ other · outpatient	2	$150	$150	—	—	—	$150 – $150
18	Clarion Hospital Clarion, PA facility · fee schedule · outpatient	1	$136	$136	—	—	—	$136 – $136
19	Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient	1	$77	$76	$62	82%	—	$12 – $138
20	Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both	1	$156	$156	—	—	—	$156 – $156
21	Dukes Health System LLC Peru, IN facility · fee schedule · outpatient	1	$26	$26	$1	4%	—	$25 – $26
22	Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient	1	$327	$289	$202	70%	—	$25 – $515
23	GLENS FALLS HOSPITAL INC Falls, NY professional · fee schedule · outpatient	4	$156	$156	—	—	—	$156 – $156
24	Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient	5	$133	$133	—	—	—	$133 – $133
25	HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges	1	$0	$0	—	—	—	$0 – $0