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
$647
Median
$538
High
$4.7k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
481 hospitals; the 90th percentile is 3.8× 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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586 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $352 | $352 | $26 | 7% | 497–506 | $327 – $378 |
| 2 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 3 | $371 | $493 | $179 | 36% | 290 | $361 – $746 |
| 3 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 3 | $371 | $493 | $179 | 36% | 290 | $361 – $746 |
| 4 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $371 | $371 | — | — | 218 | $371 – $371 |
| 5 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $348 | $348 | $0 | 0% | 119–128 | $348 – $348 |
| 6 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 2 | $313 | $313 | — | — | 100 | $313 – $313 |
| 7 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 1 | $82 | $82 | — | — | 97 | $82 – $82 |
| 8 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $267 | $267 | — | — | 53 | $267 – $267 |
| 9 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $506 | $506 | — | — | 50 | $506 – $506 |
| 10 | Wetzel County Hospital, Inc. New Martinsville, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $250 | $250 | — | — | 30 | $250 – $250 |
| 11 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $541 | $541 | — | — | 19 | $541 – $541 |
| 12 | Princeton Community Hospital Assn Inc. Princeton, WV facility · other · outpatient | 1 | $82 | $82 | — | — | 13 | $82 – $82 |
| 13 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $434 | $449 | $191 | 43% | 4–40 | $259 – $670 |
| 14 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $234 | $234 | — | — | 1–10 | $234 – $234 |
| 15 | Holyoke Medical Center Holyoke, MA facility · other · outpatient | 3 | $344 | $344 | — | — | 1–10 | $344 – $344 |
| 16 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $234 | $234 | — | — | 1–10 | $234 – $234 |
| 17 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 2 | $895 | $892 | $23 | 3% | 1–10 | $865 – $926 |
| 18 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $911 | $911 | $22 | 2% | 1–10 | $889 – $933 |
| 19 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 2 | $895 | $892 | $23 | 3% | 1–10 | $865 – $926 |
| 20 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC percent of total billed charges · bothfrom % of charges | 4 | $865 | $665 | $280 | 42% | 1–10 | $288 – $926 |
| 21 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $911 | $911 | $22 | 2% | 1–10 | $889 – $933 |
| 22 | West Virginia Health Care Cooperative Inc. Summersville, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $459 | $459 | — | — | 1–10 | $459 – $459 |
| 23 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $110 | $142 | $52 | 37% | — | $91 – $205 |
| 24 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 7 | $584 | $565 | $109 | 19% | — | $331 – $669 |
| 25 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $344 | $344 | — | — | — | $344 – $344 |
← Payers reporting CPT 90684 · Snapshot 20261111T120946Z-9134e7f7