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
$280
Average
$401
Median
$344
High
$881
Each hospital's average Regence rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 1.9× 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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25 hospital rates
iThe hospitals that file a Regence 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 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $302 | $407 | $318 | 78% | — | $93 – $929 |
| 2 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $328 | $328 | — | — | — | $328 – $328 |
| 3 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID facility · percent of total billed charges · inpatientfrom % of charges | 1 | $522 | $522 | — | — | — | $522 – $522 |
| 4 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID facility · percent of total billed charges · outpatientfrom % of charges | 2 | $347 | $347 | $175 | 50% | — | $172 – $522 |
| 5 | IHC Health Services Inc., DBA Intermountain Health Heber Valley Hospital Heber City, UT professional · fee schedule · outpatient | 1 | $328 | $328 | — | — | — | $328 – $328 |
| 6 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT facility · percent of total billed charges · inpatientfrom % of charges | 6 | $402 | $392 | $29 | 7% | — | $354 – $436 |
| 7 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT facility · percent of total billed charges · outpatientfrom % of charges | 5 | $354 | $372 | $44 | 12% | — | $311 – $436 |
| 8 | IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital Logan, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $531 | $521 | $18 | 3% | — | $490 – $531 |
| 9 | IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital Logan, UT facility · percent of total billed charges · outpatientfrom % of charges | 4 | $531 | $508 | $40 | 8% | — | $439 – $531 |
| 10 | MID-VALLEY HEALTHCARE INC Lebanon, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $413 | $413 | — | — | — | $413 – $413 |
| 11 | MID-VALLEY HEALTHCARE INC Lebanon, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 12 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 1 | $766 | $766 | — | — | — | $766 – $766 |
| 13 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 4 | $286 | $294 | $17 | 6% | — | $282 – $322 |
| 14 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 4 | $333 | $324 | $14 | 4% | — | $300 – $333 |
| 15 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 4 | $286 | $294 | $17 | 6% | — | $282 – $322 |
| 16 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 1 | $464 | $464 | — | — | — | $464 – $464 |
| 17 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient | 4 | $387 | $377 | $17 | 4% | — | $348 – $387 |
| 18 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR fee schedule · outpatient | 2 | $881 | $881 | — | — | — | $881 – $881 |
| 19 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · outpatient | 1 | $344 | $344 | — | — | — | $344 – $344 |
| 20 | SAMARITAN NORTH LINCOLN HOSPITAL Lincoln City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $413 | $413 | — | — | — | $413 – $413 |
| 21 | SAMARITAN NORTH LINCOLN HOSPITAL Lincoln City, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 22 | SAMARITAN PACIFIC HEALTH SERVICES INC Newport, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $413 | $413 | — | — | — | $413 – $413 |
| 23 | SAMARITAN PACIFIC HEALTH SERVICES INC Newport, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 24 | Tacoma General Allenmore Hospital Bremerton, WA fee schedule · outpatient | 4 | $286 | $294 | $17 | 6% | — | $282 – $322 |
| 25 | WEST SHOSHONE HOSPITAL DISTRICT Kellogg, ID professional · fee schedule · outpatient | 1 | $344 | $344 | — | — | — | $344 – $344 |
← Payers reporting CPT 90684 · Snapshot 20261111T120946Z-9134e7f7