CPT 90689
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
Vacc iiv4 no prsrv 0.25ml im
Low
$0
Average
$310
Median
$17
High
$2.4k
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26 hospital rates
iThe hospitals that file a Cigna 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 | Alexian Brothers Behavioral Health Hospital Estates, IL fee schedule · outpatient | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 2 | Alexian Brothers Medical Center Village, IL fee schedule · outpatient | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 3 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 4 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · percent of total billed charges · outpatientfrom % of charges | 6 | $44 | $44 | — | — | — | $44 – $44 |
| 5 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Deaconess Health System Henderson Hospital Henderson, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 7 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 11 | Deaconess Illinois Red Bud Regional Hospital Inc Red Bud, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 12 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 13 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 14 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $161 | $160 | $13 | 8% | — | $143 – $175 |
| 15 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $161 | $160 | $13 | 8% | — | $143 – $175 |
| 16 | Montefiore Medical Center Bronx, NY percent of total billed charges · bothfrom % of charges | 4 | $54 | $54 | — | — | — | $54 – $54 |
| 17 | New Liberty Hospital Corporation Liberty, MO facility · fee schedule · outpatient | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | St. Alexius Medical Center Estates, IL fee schedule · outpatient | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 19 | Temple Health - Chestnut Hill Hospital Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $17 | $17 | $9 | 50% | — | $8 – $26 |
| 20 | Temple University Hospital - Episcopal Campus Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $6 | $6 | $1 | 10% | — | $6 – $7 |
| 21 | Temple University Hospital - Fox Chase Campus East Norriton, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $6 | $6 | $1 | 10% | — | $6 – $7 |
| 22 | Temple University Hospital - Jeanes Campus Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $6 | $6 | $1 | 10% | — | $6 – $7 |
| 23 | Temple University Hospital - Northeastern Campus Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $6 | $6 | $1 | 10% | — | $6 – $7 |
| 24 | Temple University Hospital, Inc.- Main Campus Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $6 | $6 | $1 | 10% | — | $6 – $7 |
| 25 | Temple Women & Families Hospital Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $6 | $6 | $1 | 10% | — | $6 – $7 |
← Payers reporting CPT 90689 · Snapshot 20261113T090226Z-3ce6c0b8