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
$0
Average
$906
Median
$338
High
$14.9k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
171 hospitals; the 90th percentile is 4.6× 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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188 hospital rates
iThe hospitals that file a WellCare 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 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME percent of total billed charges · outpatientfrom % of charges | 1 | $284 | $284 | — | — | 84 | $284 – $284 |
| 2 | The Aroostook Medical Center Isle, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $361 | $361 | — | — | 41 | $361 – $361 |
| 3 | Eastern Maine Medical Center Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $348 | $348 | — | — | 36 | $348 – $348 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $282 | $282 | — | — | 1–10 | $282 – $282 |
| 5 | Maine Coast Regional Health Facilities Ellsworth, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $340 | $340 | — | — | 1–10 | $340 – $340 |
| 6 | Mercy Hospital Portland, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $364 | $364 | — | — | 1–10 | $364 – $364 |
| 7 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 3 | $908 | $793 | $240 | 30% | 1–10 | $370 – $953 |
| 8 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 3 | $924 | $803 | $246 | 31% | 1–10 | $370 – $980 |
| 9 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 3 | $908 | $793 | $240 | 30% | 1–10 | $370 – $953 |
| 10 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC percent of total billed charges · bothfrom % of charges | 3 | $908 | $793 | $240 | 30% | 1–10 | $370 – $953 |
| 11 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 3 | $924 | $803 | $246 | 31% | 1–10 | $370 – $980 |
| 12 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $370 | $370 | $9 | 2% | — | $361 – $379 |
| 13 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $334 | $334 | — | — | — | $334 – $334 |
| 14 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 2 | $57 | $57 | $11 | 19% | — | $46 – $68 |
| 15 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $334 | $334 | — | — | — | $334 – $334 |
| 16 | Appalachian Regional Behavioral Health Hospital Linville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $211 | $211 | — | — | — | $211 – $211 |
| 17 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $282 | $282 | — | — | — | $282 – $282 |
| 18 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $251 | $251 | — | — | — | $251 – $251 |
| 19 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $282 | $282 | — | — | — | $282 – $282 |
| 20 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $282 | $282 | — | — | — | $282 – $282 |
| 21 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $251 | $251 | — | — | — | $251 – $251 |
| 22 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 23 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $338 | $338 | — | — | — | $338 – $338 |
| 24 | Blue Hill Memorial Hospital Hill, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $244 | $244 | — | — | — | $244 – $244 |
| 25 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $334 | $334 | — | — | — | $334 – $334 |
← Payers reporting CPT 90684 · Snapshot 20261111T120946Z-9134e7f7