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 0.5 ml im
Low
$7
Average
$111
Median
$16
High
$2.2k
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 4.8× 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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27 hospital rates
iThe hospitals that file a Devoted 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 | Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient | 1 | $7 | $7 | $2 | 29% | — | $5 – $9 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 4 | Carlsbad Medical Center LLC Carlsbad, NM facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 5 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 6 | Dupont Hospital LLC Wayne, IN facility · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 7 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 8 | IOM Health System LP Fort Wayne, IN facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | Kirksville Missouri Hospital Co LLC PO Box C8502 Kirksville, MO facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 10 | Lancaster General Health Lancaster, PA facility · other · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 11 | Las Cruces Medical Center LLC Las Cruces, NM facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 12 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 13 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 14 | MID-VALLEY HEALTHCARE INC Lebanon, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | $1 | 15% | — | $7 – $10 |
| 15 | Mercy Hospitals East Communities Washington, MO professional · percent of total billed charges · inpatientfrom % of charges | 1 | $19 | $19 | $5 | 26% | — | $14 – $24 |
| 16 | Mercy Hospitals East Communities Washington, MO professional · percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | $5 | 26% | — | $14 – $24 |
| 17 | Natchez Hospital Company LLC Natchez, MS facility · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 18 | Northwest Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 19 | Northwest Sahurita Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 20 | Oro Valley Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 21 | SAMARITAN NORTH LINCOLN HOSPITAL Lincoln City, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | $2 | 15% | — | $9 – $12 |
| 22 | SAMARITAN PACIFIC HEALTH SERVICES INC Newport, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | $2 | 15% | — | $8 – $11 |
| 23 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS other · both | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 24 | St. Joseph Health System, LLC Wayne, IN facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 25 | The Toledo Hospital Maumee, OH facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
← Payers reporting CPT 90688 · Snapshot 20261112T181611Z-3fa9fb76