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
$11
Average
$31
Median
$25
High
$86
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
34 hospitals; the 90th percentile is 4.3× 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 Phcs 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 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $31 | $16 | 51% | — | $9 – $47 |
| 2 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 3 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 4 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $15 | $15 | $15 | 100% | — | $0 – $30 |
| 5 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $15 | $15 | $15 | 100% | — | $0 – $30 |
| 6 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 7 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 8 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 9 | Jasper Health Services Monticello, GA percent of total billed charges · inpatientfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 10 | Jasper Health Services Monticello, GA percent of total billed charges · outpatientfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 11 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 12 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · inpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 13 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 14 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 15 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 16 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 17 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 18 | Mount Carmel Dublin Dublin, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 19 | Mount Carmel East Reynoldsburg, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 20 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 21 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 22 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 23 | Piedmont Athens Regional Athens, GA percent of total billed charges · bothfrom % of charges | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 24 | Piedmont Augusta Augusta, GA percent of total billed charges · bothfrom % of charges | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 25 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $44 | $9 | 19% | — | $35 – $56 |
← Payers reporting CPT 90688 · Snapshot 20261112T181611Z-3fa9fb76