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
$1
Average
$3.2k
Median
$415
High
$2451.3k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
908 hospitals; the 90th percentile is 3.3× 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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1,236 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $333 | $333 | $14 | 4% | 192–201 | $319 – $347 |
| 2 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $489 | $530 | $193 | 36% | 118 | $345 – $797 |
| 3 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $489 | $530 | $193 | 36% | 118 | $345 – $797 |
| 4 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 3 | $366 | $322 | $62 | 19% | 87–105 | $235 – $366 |
| 5 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 18 | $337 | $349 | $95 | 27% | 72 | $159 – $561 |
| 6 | Mercy Hospital Portland, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $356 | $356 | $14 | 4% | 67 | $342 – $370 |
| 7 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $366 | $366 | — | — | 66–75 | $366 – $366 |
| 8 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $445 | $445 | — | — | 49 | $445 – $445 |
| 9 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $333 | $333 | — | — | 38 | $333 – $333 |
| 10 | Eastern Maine Medical Center Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $383 | $383 | $35 | 9% | 36 | $348 – $417 |
| 11 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.0k | $405 | 20% | 36 | $1.6k – $2.5k |
| 12 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME percent of total billed charges · outpatientfrom % of charges | 2 | $388 | $388 | $103 | 27% | 34 | $284 – $491 |
| 13 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $541 | $541 | — | — | 31 | $541 – $541 |
| 14 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 2 | $654 | $661 | $282 | 43% | 27 | $370 – $966 |
| 15 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 2 | $654 | $661 | $282 | 43% | 27 | $370 – $966 |
| 16 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 1 | $541 | $541 | — | — | 14 | $541 – $541 |
| 17 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $585 | $585 | — | — | 14 | $585 – $585 |
| 18 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · other · outpatient | 1 | $135 | $135 | — | — | 14 | $135 – $135 |
| 19 | Maine Coast Regional Health Facilities Ellsworth, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $340 | $340 | — | — | 13 | $340 – $340 |
| 20 | Avera St. Luke's Aberdeen, SD fee schedule · outpatient | 1 | $541 | $541 | — | — | 12 | $541 – $541 |
| 21 | The Aroostook Medical Center Isle, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $389 | $389 | $29 | 7% | 12 | $361 – $418 |
| 22 | Wetzel County Hospital, Inc. New Martinsville, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $434 | $434 | — | — | 11 | $434 – $434 |
| 23 | Vanderbilt Bedford Hospital Shelbyville, TN percent of total billed charges · bothfrom % of charges | 17 | $337 | $353 | $96 | 27% | 6–60 | $159 – $561 |
| 24 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $192 | $192 | — | — | 2–20 | $192 – $192 |
| 25 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO other · outpatient | 1 | $321 | $321 | — | — | 2–20 | $321 – $321 |
← Payers reporting CPT 90684 · Snapshot 20261112T124536Z-e251e855