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
Iiv4 vaccine splt 0.25 ml im
Low
$7
Average
$69
Median
$12
High
$1.1k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 2.4× 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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20 hospital rates
iThe hospitals that file a Medicare 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 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 2 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 3 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $15 | $15 | $2 | 15% | — | $13 – $17 |
| 4 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $11 | $11 | $2 | 15% | — | $9 – $12 |
| 5 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 6 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 2 | $13 | $13 | $2 | 15% | — | $11 – $15 |
| 7 | FISHERMENS HEALTH, INC MARATHON, FL percent of total billed charges · bothfrom % of charges | 2 | $10 | $10 | $2 | 15% | — | $9 – $12 |
| 8 | HOMESTEAD HOSPITAL Homestead, FL fee schedule · both | 2 | $12 | $12 | $2 | 15% | — | $10 – $14 |
| 9 | MARINERS HOSPITAL TAVERNIER, FL percent of total billed charges · bothfrom % of charges | 2 | $10 | $10 | $2 | 15% | — | $9 – $12 |
| 10 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 11 | SAN MIGUEL HOSPITAL CORPORATION LAS VEGAS, NM percent of total billed charges · bothfrom % of charges | 6 | $17 | $16 | $1 | 5% | — | $15 – $17 |
| 12 | SOUTH MIAMI HOSPITAL Weston, FL fee schedule · both | 2 | $14 | $14 | $2 | 15% | — | $12 – $16 |
| 13 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 14 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS other · both | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 15 | ThedaCare Regional Medical Center-Berlin Inc WI 54971-9286; N2930 State Rd 22 Wautoma, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 16 | Thedacare Regional Medical Center-New London Inc WI 54961; 370 S. Main St. Clintonville, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 17 | Thedacare Regional Medical Center-Shawano Inc Shawano, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 18 | Thedacare Regional Medical Center-Waupaca Inc Waupaca, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 19 | Thedacare Regional Medical Center-Wild Rose Inc Wild Rose, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 20 | WEST KENDALL BAPTIST HOSPITAL Miami, FL fee schedule · both | 2 | $14 | $14 | $2 | 15% | — | $12 – $17 |
← Payers reporting CPT 90687 · Snapshot 20261113T090226Z-3ce6c0b8