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
$10
Average
$1.4k
Median
$97
High
$15.1k
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
64 hospitals; the 90th percentile is 120.5× 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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70 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 1 | $11 | $11 | — | — | 1–10 | $11 – $11 |
| 2 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 1 | $11 | $11 | — | — | 1–10 | $11 – $11 |
| 3 | Appalachian Regional Behavioral Health Hospital Linville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $209 | $209 | — | — | — | $209 – $209 |
| 4 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 5 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 6 | Blue Ridge HealthCare Hospitals, Inc Valdese, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 7 | Caldwell Memorial Hospital Lenoir, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $265 | $265 | — | — | — | $265 – $265 |
| 8 | CentraState Medical Center Freehold Township, NJ other · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 9 | Charles A. Cannon Jr. Memorial Hospital, Inc Cannon, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $328 | $328 | — | — | — | $328 – $328 |
| 10 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 11 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 1 | $15.1k | $15.1k | — | — | — | $15.1k – $15.1k |
| 12 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 13 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 1 | $15.1k | $15.1k | — | — | — | $15.1k – $15.1k |
| 14 | Johnston Health Services Corporation Smithfield, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 15 | Lenoir Memorial Hospital Kinston, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $241 | $241 | — | — | — | $241 – $241 |
| 16 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $432 | $432 | — | — | — | $432 – $432 |
| 17 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $432 | $432 | — | — | — | $432 – $432 |
| 18 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 1 | $296 | $296 | — | — | — | $296 – $296 |
| 19 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 20 | Morristown Medical Center Morristown, NJ other · outpatient | 1 | $15.1k | $15.1k | — | — | — | $15.1k – $15.1k |
| 21 | Nash Hospitals Rocky Mount, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 22 | Newton Medical Center Newton, NJ other · outpatient | 1 | $15.1k | $15.1k | — | — | — | $15.1k – $15.1k |
| 23 | Overlook Medical Center Summit, NJ other · outpatient | 1 | $15.1k | $15.1k | — | — | — | $15.1k – $15.1k |
| 24 | Rex Hospital, Inc. Holly Springs, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $121 | $121 | $56 | 47% | — | $65 – $177 |
| 25 | Sarasota Memorial Hospital Sarasota, FL case rate · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
← Payers reporting CPT 90684 · Snapshot 20261111T120946Z-9134e7f7