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
$139
Average
$18.4k
Median
$925
High
$1813.1k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
105 hospitals; the 90th percentile is 10.9× 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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154 hospital rates
iThe hospitals that file a First Health 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 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $233 | $233 | $187 | 80% | — | $46 – $419 |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $233 | $233 | $187 | 80% | — | $46 – $419 |
| 3 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $233 | $233 | $187 | 80% | — | $46 – $419 |
| 4 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $233 | $233 | $187 | 80% | — | $46 – $419 |
| 5 | Affinity Hospital LLC Birmingham, AL facility · other · outpatient | 1 | $540 | $540 | — | — | — | $540 – $540 |
| 6 | Affinity Hospital LLC Birmingham, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $704 | $704 | — | — | — | $704 – $704 |
| 7 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 8 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | $4 | 0% | — | $1.0k – $1.1k |
| 11 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 1 | $1.0k | $1.0k | $4 | 0% | — | $1.0k – $1.1k |
| 12 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $328 | $328 | — | — | — | $328 – $328 |
| 13 | Bexar County Hospital District San Antonio, TX percent of total billed charges · inpatientfrom % of charges | 1 | $528 | $546 | $271 | 50% | — | $259 – $867 |
| 14 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $615 | $648 | $327 | 51% | — | $295 – $1.1k |
| 15 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.2k | $1.2k | $1.2k | 100% | — | $0 – $2.5k |
| 16 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | $1.2k | 100% | — | $0 – $2.5k |
| 17 | Bon Secours Community Hospital Jervis, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $776 | $776 | — | — | — | $776 – $776 |
| 18 | Bon Secours Community Hospital Jervis, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $776 | $776 | — | — | — | $776 – $776 |
| 19 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 20 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $379 | $379 | — | — | — | $379 – $379 |
| 21 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 22 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $370 | $370 | — | — | — | $370 – $370 |
| 23 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 24 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $585 | $585 | $354 | 60% | — | $231 – $940 |
| 25 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
← Payers reporting CPT 90684 · Snapshot 20261111T120946Z-9134e7f7