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
$3
Average
$111
Median
$24
High
$11.6k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
656 hospitals; the 90th percentile is 5.0× 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.
Filter by billing methodology
Filter by billing class
898 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Essentia Health Virginia 901 9th St N Virginia, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | 1–10 | $16 – $16 |
| 2 | Landmark Medical Center Woonsocket, RI percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | 1–10 | $15 – $15 |
| 3 | MCLAREN BAY REGION CITY, MI percent of total billed chargesfrom % of charges | 1 | $46 | $46 | — | — | 1–10 | $46 – $46 |
| 4 | MCLAREN CENTRAL MICHIGAN PLEASANT, MI percent of total billed chargesfrom % of charges | 1 | $50 | $50 | — | — | 1–10 | $50 – $50 |
| 5 | MCLAREN FLINT FLINT, MI percent of total billed chargesfrom % of charges | 1 | $46 | $46 | — | — | 1–10 | $46 – $46 |
| 6 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | 1–10 | $42 – $42 |
| 7 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | 1–10 | $7 – $7 |
| 8 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $49 | $58 | $30 | 52% | — | $26 – $98 |
| 9 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $48 | $40 | $21 | 51% | — | $12 – $61 |
| 10 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 2 | $36 | $30 | $15 | 51% | — | $9 – $46 |
| 11 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $25 | $25 | $2 | 9% | — | $21 – $29 |
| 12 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $12 | $12 | $2 | 15% | — | $10 – $14 |
| 13 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 3 | $25 | $35 | $15 | 43% | — | $25 – $64 |
| 14 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 2 | $42 | $39 | $6 | 16% | — | $30 – $47 |
| 15 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 16 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 17 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 3 | $27 | $27 | $2 | 8% | — | $24 – $30 |
| 18 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $20 | $22 | $3 | 14% | — | $20 – $26 |
| 19 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 20 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $27 | $27 | $1 | 3% | — | $26 – $27 |
| 21 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 5 | $26 | $22 | $5 | 23% | — | $16 – $27 |
| 22 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 23 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 24 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 25 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient | 2 | $53 | $53 | $18 | 34% | — | $34 – $71 |
← Payers reporting CPT 90688 · Snapshot 20261112T181611Z-3fa9fb76