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
FLU VACCINE,QUAD, NO PRESERV,IM .5 ML
Low
$6
Average
$19
Median
$15
High
$50
Each hospital's average Superior Healthplan rate, under the methodology and billing class chosen below.
33 hospitals; the 90th percentile is 7.5× 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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39 hospital rates
iThe hospitals that file a Superior Healthplan 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 | Mission Regional Medical Center Mission, TX percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | 2–20 | $50 – $50 |
| 2 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · inpatient | 1 | $23 | $23 | $3 | 11% | — | $20 – $26 |
| 3 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 1 | $23 | $23 | $3 | 11% | — | $20 – $26 |
| 4 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 2 | $46 | $46 | — | — | — | $46 – $46 |
| 5 | Knox County Hospital District Knox City, TX fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 6 | Laredo Texas Hospital Company LP Laredo, TX facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 7 | Laredo Texas Hospital Company LP Laredo, TX facility · other · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 8 | Longview Medical Center LP Longview, TX facility · fee schedule · outpatient | 2 | $33 | $33 | $18 | 56% | — | $15 – $51 |
| 9 | MED CITY HEART HOSPITAL Dallas, TX percent of total billed charges · outpatientfrom % of charges | 5 | $6 | $6 | — | — | — | $6 – $6 |
| 10 | MED CITY SPINE HOSPITAL DALLAS, TX percent of total billed charges · outpatientfrom % of charges | 5 | $6 | $6 | — | — | — | $6 – $6 |
| 11 | MEDICAL CITY ALLIANCE HASLET, TX percent of total billed charges · outpatientfrom % of charges | 5 | $11 | $11 | — | — | — | $11 – $11 |
| 12 | MEDICAL CITY ARLINGTON GRAND PRAIRIE, TX percent of total billed charges · outpatientfrom % of charges | 5 | $15 | $15 | — | — | — | $15 – $15 |
| 13 | MEDICAL CITY DALLAS GARLAND, TX percent of total billed charges · outpatientfrom % of charges | 5 | $6 | $6 | — | — | — | $6 – $6 |
| 14 | MEDICAL CITY DECATUR DECATUR, TX percent of total billed charges · outpatientfrom % of charges | 5 | $13 | $13 | — | — | — | $13 – $13 |
| 15 | MEDICAL CITY DENTON Denton, TX percent of total billed charges · outpatientfrom % of charges | 5 | $13 | $13 | — | — | — | $13 – $13 |
| 16 | MEDICAL CITY FORT WORTH FORT WORTH, TX percent of total billed charges · outpatientfrom % of charges | 5 | $6 | $6 | — | — | — | $6 – $6 |
| 17 | MEDICAL CITY GREEN OAKS HOSPITAL DALLAS, TX percent of total billed charges · outpatientfrom % of charges | 5 | $6 | $9 | $6 | 64% | — | $5 – $18 |
| 18 | MEDICAL CITY LAS COLINAS Irving, TX percent of total billed charges · outpatientfrom % of charges | 5 | $6 | $6 | — | — | — | $6 – $6 |
| 19 | MEDICAL CITY LEWISVILLE Lewisville, TX percent of total billed charges · outpatientfrom % of charges | 5 | $19 | $19 | — | — | — | $19 – $19 |
| 20 | MEDICAL CITY NORTH HILLS North Richland Hills, TX percent of total billed charges · outpatientfrom % of charges | 5 | $11 | $11 | — | — | — | $11 – $11 |
| 21 | MEDICAL CITY PLANO Plano, TX percent of total billed charges · outpatientfrom % of charges | 5 | $6 | $6 | — | — | — | $6 – $6 |
| 22 | MEDICAL CITY SACHSE Sachse, TX percent of total billed charges · outpatientfrom % of charges | 5 | $20 | $20 | — | — | — | $20 – $20 |
| 23 | MEDICAL CITY SURGERY CITY ALLIANCE FT WORTH, TX percent of total billed charges · outpatientfrom % of charges | 5 | $11 | $11 | — | — | — | $11 – $11 |
| 24 | MEDICAL CITY WEATHERFORD Weatherford, TX percent of total billed charges · outpatientfrom % of charges | 5 | $9 | $9 | — | — | — | $9 – $9 |
| 25 | McCamey County Hospital District McCamey, TX fee schedule · outpatient | 2 | $26 | $26 | $5 | 18% | — | $21 – $30 |
← Payers reporting CPT 90686 · Snapshot 20261111T120946Z-9134e7f7