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
$1
Average
$49
Median
$40
High
$180
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19 hospital rates
iThe hospitals that file a MultiPlan 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 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 2 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 3 | Cleveland Clinic Mercy Hospital Canton, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 4 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 5 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Deaconess Illinois Red Bud Regional Hospital Inc Red Bud, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | $2 | 9% | — | $19 – $23 |
| 8 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $181 | $180 | $15 | 8% | — | $161 – $197 |
| 9 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $181 | $180 | $15 | 8% | — | $161 – $197 |
| 10 | Greenbrier Valley Medical Center Ronceverte, WV percent of total billed charges · bothfrom % of charges | 2 | $37 | $37 | $2 | 5% | — | $35 – $38 |
| 11 | HCA FLORIDA SOUTH SHORE HOSPITAL APOLLO BEACH, FL percent of total billed charges · outpatientfrom % of charges | 2 | $51 | $51 | $3 | 6% | — | $48 – $54 |
| 12 | HCA FLORIDA WOODMONT HOSPITAL TAMARAC, FL percent of total billed charges · outpatientfrom % of charges | 2 | $142 | $142 | $9 | 6% | — | $134 – $151 |
| 13 | Montefiore Medical Center Bronx, NY percent of total billed charges · bothfrom % of charges | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 14 | ST. ALEXIUS MEDICAL CENTER Bismarck, ND fee schedule · inpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 15 | ST. ALEXIUS MEDICAL CENTER Bismarck, ND fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 16 | San Bernardino County Redlands, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 17 | San Bernardino County Redlands, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 18 | THE UNION HOSPITAL ASSOCIATION Dover, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 19 | The Cleveland Clinic Foundation Brunswick, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
← Payers reporting CPT 90689 · Snapshot 20261113T090226Z-3ce6c0b8