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
$205
Average
$312
Median
$309
High
$426
Each hospital's average Sanford Health Plan rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 1.7× 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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26 hospital rates
iThe hospitals that file a Sanford Health Plan 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 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 2 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 3 | Mahnomen Health Center Mahnomen, MN facility · case rate · outpatient | 1 | $328 | $328 | — | — | — | $328 – $328 |
| 4 | Sanford Aberdeen Medical Center Aberdeen, SD case rate · outpatient | 1 | $312 | $312 | — | — | — | $312 – $312 |
| 5 | Sanford Aberdeen Medical Center Aberdeen, SD percent of total billed charges · outpatientfrom % of charges | 4 | $269 | $270 | $28 | 10% | — | $232 – $311 |
| 6 | Sanford Behavioral Health Thief River Falls Thief River Falls, MN percent of total billed charges · inpatientfrom % of charges | 4 | $373 | $373 | $30 | 8% | — | $342 – $403 |
| 7 | Sanford Behavioral Health Thief River Falls Thief River Falls, MN percent of total billed charges · outpatientfrom % of charges | 5 | $342 | $347 | $59 | 17% | — | $243 – $403 |
| 8 | Sanford Bemidji Medical Center Bemidji, MN case rate · outpatient | 1 | $312 | $312 | — | — | — | $312 – $312 |
| 9 | Sanford Bemidji Medical Center Bemidji, MN percent of total billed charges · outpatientfrom % of charges | 4 | $177 | $178 | $19 | 10% | — | $153 – $205 |
| 10 | Sanford Canby Medical Center Canby, MN percent of total billed charges · inpatientfrom % of charges | 4 | $450 | $450 | $36 | 8% | — | $413 – $486 |
| 11 | Sanford Canby Medical Center Canby, MN percent of total billed charges · outpatientfrom % of charges | 5 | $413 | $407 | $90 | 22% | — | $239 – $486 |
| 12 | Sanford Fargo Medical Center Fargo, ND case rate · outpatient | 1 | $312 | $312 | — | — | — | $312 – $312 |
| 13 | Sanford Fargo Medical Center Fargo, ND fee schedule · outpatient | 4 | $308 | $308 | — | — | — | $308 – $308 |
| 14 | Sanford Medical Center Bismarck Bismarck, ND case rate · outpatient | 1 | $312 | $312 | — | — | — | $312 – $312 |
| 15 | Sanford Medical Center Bismarck Bismarck, ND fee schedule · outpatient | 4 | $308 | $308 | — | — | — | $308 – $308 |
| 16 | Sanford Thief River Falls Medical Center Thief River Falls, MN percent of total billed charges · inpatientfrom % of charges | 4 | $373 | $373 | $30 | 8% | — | $342 – $403 |
| 17 | Sanford Thief River Falls Medical Center Thief River Falls, MN percent of total billed charges · outpatientfrom % of charges | 5 | $342 | $347 | $59 | 17% | — | $243 – $403 |
| 18 | Sanford Tracy Hospital Tracy, MN percent of total billed charges · inpatientfrom % of charges | 4 | $441 | $441 | $36 | 8% | — | $405 – $476 |
| 19 | Sanford Tracy Hospital Tracy, MN percent of total billed charges · outpatientfrom % of charges | 5 | $405 | $392 | $101 | 26% | — | $200 – $476 |
| 20 | Sanford USD Medical Center Sioux Falls, SD case rate · outpatient | 1 | $312 | $312 | — | — | — | $312 – $312 |
| 21 | Sanford USD Medical Center Sioux Falls, SD fee schedule · outpatient | 4 | $308 | $308 | — | — | — | $308 – $308 |
| 22 | Sanford Vermillion Hospital Vermillion, SD percent of total billed charges · inpatientfrom % of charges | 4 | $240 | $241 | $25 | 10% | — | $207 – $278 |
| 23 | Sanford Vermillion Hospital Vermillion, SD percent of total billed charges · outpatientfrom % of charges | 5 | $236 | $224 | $41 | 18% | — | $154 – $278 |
| 24 | Sanford Worthington Medical Center Worthington, MN case rate · outpatient | 1 | $312 | $312 | — | — | — | $312 – $312 |
| 25 | Sanford Worthington Medical Center Worthington, MN percent of total billed charges · inpatientfrom % of charges | 4 | $216 | $216 | $18 | 8% | — | $199 – $234 |
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