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
Influenza Virus Vial -> IIV4 SYR, 0.25mL Pres Free 90685
Low
$3
Average
$122
Median
$20
High
$15.9k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
163 hospitals; the 90th percentile is 5.8× 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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205 hospital rates
iThe hospitals that file a Molina 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 2 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 3 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $26 | $26 | $5 | 20% | — | $21 – $32 |
| 4 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 5 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 6 | BRONXCARE HEALTH SYSTEM Bronx, NY other · outpatient | 2 | $6 | $11 | $11 | 100% | — | $6 – $33 |
| 7 | BRONXCARE HEALTH SYSTEM Bronx, NY other · outpatient | 2 | $6 | $11 | $11 | 100% | — | $6 – $33 |
| 8 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 9 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 10 | Bartow Regional Medical Center Bartow, FL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 11 | BayCare Alliant Hospital Dunedin, FL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 12 | Baycare Hospital Wesley Chapel Chapel, FL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 13 | Bronson LakeView Hospital Paw Paw, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT percent of total billed charges · inpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT percent of total billed charges · inpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT percent of total billed charges · inpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT percent of total billed charges · inpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT percent of total billed charges · inpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 24 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 25 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
← Payers reporting CPT 90685 · Snapshot 20261112T181611Z-3fa9fb76