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CPT 90688

PR IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE

Reported by 121 hospitals in the network under the percent of billed charges methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated percentage of total billed charges.

National pricing summary

Low

$7

Average

$149

Median

$33

High

$872

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$18$23$23$30—
2Northwest Iowa Hospital CorporationSioux City, IA$7$7$7$30—
3Meriter Hospital, IncMadison, WI$11$17$21$44$11
4Hca Florida Orange Park HospitalMIDDLEBURG, FL$61$161$250$519$178
5Hca Florida Memorial HospitalJACKSONVILLE, FL$7$19$28$60$20
6Hca Florida Highlands HospitalSebring, FL$38$89$115$221$58
7Methodist Hospital AtascosaJourdanton, TX$10$48$66$165$56
8Methodist Texsan Hospital RehabSAN ANTONIO, TX$10$65$70$165$53
9Methodist Hospital Stone OakSan Antonio, TX$10$72$78$165$55
10Methodist Specialty And TransplantSAN ANTONIO, TX$10$97$86$194$52
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