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
$0
Average
$121
Median
$26
High
$15.9k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
270 hospitals; the 90th percentile is 11.2× 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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303 hospital rates
iThe hospitals that file a Humana 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $37 | $37 | $12 | 31% | — | $26 – $49 |
| 2 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $31 | $16 | 51% | — | $9 – $47 |
| 3 | ALBANY GENERAL HOSPITAL Albany, OR professional · percent of total billed charges · outpatientfrom % of charges | 4 | $23 | $23 | $7 | 32% | — | $15 – $30 |
| 4 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 5 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 6 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 7 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 2 | $47 | $47 | — | — | — | $47 – $47 |
| 8 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 2 | $47 | $47 | — | — | — | $47 – $47 |
| 9 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 10 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 11 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 12 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 13 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 14 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 15 | Bartow Regional Medical Center Bartow, FL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 16 | BayCare Alliant Hospital Dunedin, FL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 17 | Baycare Hospital Wesley Chapel Chapel, FL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 18 | Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient | 1 | $7 | $7 | $2 | 29% | — | $5 – $9 |
| 19 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 20 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO percent of total billed charges · inpatientfrom % of charges | 1 | $942 | $942 | — | — | — | $942 – $942 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO percent of total billed charges · outpatientfrom % of charges | 1 | $942 | $942 | — | — | — | $942 – $942 |
| 24 | CHRISTUS Health - Pine Street Texarkana, TX fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 25 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
← Payers reporting CPT 90688 · Snapshot 20261112T181611Z-3fa9fb76