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
$32
Average
$5.1k
Median
$493
High
$2551.4k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
574 hospitals; the 90th percentile is 3.5× 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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751 hospital rates
iThe hospitals that file a Cigna 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 · bothfrom % of charges | 2 | $297 | $297 | $59 | 20% | 126 | $239 – $356 |
| 2 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $297 | $297 | $59 | 20% | 69 | $239 – $356 |
| 3 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $382 | $382 | — | — | 32 | $382 – $382 |
| 4 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $428 | $428 | $154 | 36% | 20 | $274 – $582 |
| 5 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $409 | $409 | — | — | 12 | $409 – $409 |
| 6 | The University of Texas Medical Branch Webster, TX percent of total billed charges · bothfrom % of charges | 2 | $110 | $117 | $32 | 28% | 2–20 | $74 – $158 |
| 7 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $399 | $399 | — | — | 1–10 | $399 – $399 |
| 8 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $399 | $399 | — | — | 1–10 | $399 – $399 |
| 9 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · bothfrom % of charges | 1 | $414 | $414 | — | — | 1–10 | $414 – $414 |
| 10 | Mercy Hospital Portland, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $364 | $364 | $22 | 6% | 1–10 | $342 – $385 |
| 11 | NATIONAL JEWISH HEALTH GOLDEN, CO percent of total billed charges · bothfrom % of charges | 2 | $345 | $345 | $115 | 33% | 1–10 | $230 – $461 |
| 12 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 2 | $908 | $901 | $30 | 3% | 1–10 | $865 – $953 |
| 13 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 2 | $908 | $901 | $30 | 3% | 1–10 | $865 – $953 |
| 14 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $399 | $399 | — | — | 1–10 | $399 – $399 |
| 15 | The Aroostook Medical Center Isle, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $290 | $290 | $96 | 33% | 1–10 | $194 – $385 |
| 16 | Wetzel County Hospital, Inc. New Martinsville, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $423 | $423 | — | — | 1–10 | $423 – $423 |
| 17 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 3 | $517 | $525 | $15 | 3% | — | $512 – $547 |
| 18 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 1 | $322 | $322 | — | — | — | $322 – $322 |
| 19 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $322 | $322 | — | — | — | $322 – $322 |
| 20 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 1 | $272 | $272 | — | — | — | $272 – $272 |
| 21 | Acadia Hospital Bangor, ME facility · percent of total billed charges · inpatientfrom % of charges | 1 | $501 | $501 | — | — | — | $501 – $501 |
| 22 | Acadia Hospital Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $501 | $501 | — | — | — | $501 – $501 |
| 23 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $205 | $205 | $164 | 80% | — | $41 – $369 |
| 24 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $205 | $205 | $164 | 80% | — | $41 – $369 |
| 25 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $175 | $175 | $140 | 80% | — | $35 – $316 |
← Payers reporting CPT 90684 · Snapshot 20261111T120946Z-9134e7f7