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
Pcv21 Vaccine for Intramuscular Use
Low
$0
Average
$4.3k
Median
$383
High
$1922.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
519 hospitals; the 90th percentile is 6.3× 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.
Filter by billing methodology
Filter by billing class
814 hospital rates
iThe hospitals that file a Aetna 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 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $336 | $336 | $24 | 7% | 92–101 | $312 – $360 |
| 2 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $418 | $418 | — | — | 88 | $418 – $418 |
| 3 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $815 | $710 | $129 | 18% | 78–96 | $552 – $816 |
| 4 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $815 | $710 | $129 | 18% | 78–96 | $552 – $816 |
| 5 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $347 | $347 | — | — | 70 | $347 – $347 |
| 6 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 10 | $348 | $333 | $90 | 27% | 65 | $140 – $421 |
| 7 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $336 | $336 | $24 | 7% | 64–73 | $312 – $360 |
| 8 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 2 | $232 | $232 | $119 | 51% | 62 | $113 – $351 |
| 9 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $408 | $408 | — | — | 62 | $408 – $408 |
| 10 | Mercy Hospital Portland, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $342 | $337 | $48 | 14% | 52 | $276 – $394 |
| 11 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 2 | $228 | $228 | $140 | 61% | 46 | $88 – $368 |
| 12 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | $343 | 20% | 40 | $1.4k – $2.1k |
| 13 | Eastern Maine Medical Center Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $348 | $334 | $54 | 16% | 27 | $263 – $392 |
| 14 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $335 | $335 | — | — | 21–30 | $335 – $335 |
| 15 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $408 | $408 | — | — | 20 | $408 – $408 |
| 16 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $351 | $351 | — | — | 18 | $351 – $351 |
| 17 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 1 | $344 | $344 | — | — | 17 | $344 – $344 |
| 18 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $408 | $408 | — | — | 15 | $408 – $408 |
| 19 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME percent of total billed charges · outpatientfrom % of charges | 2 | $382 | $382 | $98 | 26% | 13–22 | $284 – $481 |
| 20 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $408 | $408 | — | — | 12 | $408 – $408 |
| 21 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 3 | $195 | $332 | $198 | 60% | 3–30 | $189 – $612 |
| 22 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $1.4k | $1.4k | $1.1k | 82% | 2–20 | $251 – $2.5k |
| 23 | Barnesville Hospital Association, Inc. Barnesville, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $416 | $416 | $211 | 51% | 2–20 | $205 – $627 |
| 24 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC percent of total billed charges · bothfrom % of charges | 4 | $1.2k | $1.3k | $457 | 35% | 2–20 | $865 – $2.0k |
| 25 | Spencer Municipal Hospital Spencer, IA percent of total billed charges · outpatientfrom % of charges | 2 | $645 | $645 | $17 | 3% | 2–20 | $627 – $662 |
← Payers reporting CPT 90684 · Snapshot 20261111T120946Z-9134e7f7