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 aiiv4 no prsrv 0.5ml im
Low
$0
Average
$102
Median
$77
High
$1.4k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
476 hospitals; the 90th percentile is 5.7× 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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620 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | 5 | $50 | $51 | $11 | 21% | 172 | $40 – $67 |
| 2 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | — | — | 68 | $93 – $93 |
| 3 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $67 | $69 | $28 | 40% | 46 | $39 – $101 |
| 4 | Essentia Health St. Mary's Medical Center Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $67 | $69 | $28 | 40% | 46 | $39 – $101 |
| 5 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $59 | $59 | — | — | 40 | $59 – $59 |
| 6 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | — | — | 32 | $93 – $93 |
| 7 | Sarasota Memorial Hospital Sarasota, FL percent of total billed charges · outpatientfrom % of charges | 1 | $169 | $169 | — | — | 29 | $169 – $169 |
| 8 | Sarasota Memorial Hospital - Venice North Venice, FL percent of total billed charges · outpatientfrom % of charges | 1 | $169 | $169 | — | — | 29 | $169 – $169 |
| 9 | Essentia Health Duluth Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 5 | $45 | $46 | $11 | 23% | 2–20 | $36 – $67 |
| 10 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $27 | $27 | — | — | 1–10 | $27 – $27 |
| 11 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 3 | $44 | $45 | $5 | 12% | — | $40 – $53 |
| 12 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 5 | $32 | $64 | $40 | 63% | — | $31 – $114 |
| 13 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA case rate · outpatient | 2 | $35 | $35 | $2 | 5% | — | $33 – $37 |
| 14 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 15 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 3 | $27 | $24 | $8 | 36% | — | $12 – $32 |
| 16 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 2 | $23 | $22 | $1 | 5% | — | $20 – $23 |
| 17 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 3 | $4 | $5 | $1 | 30% | — | $3 – $7 |
| 18 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $59 | $77 | $28 | 37% | — | $50 – $111 |
| 19 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · inpatient | 1 | $25 | $25 | $0 | 1% | — | $25 – $25 |
| 20 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 3 | $57 | $53 | $21 | 40% | — | $25 – $77 |
| 21 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 2 | $70 | $70 | $2 | 3% | — | $68 – $73 |
| 22 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 3 | $69 | $62 | $11 | 18% | — | $46 – $73 |
| 23 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · inpatient | 1 | $18 | $18 | $0 | 1% | — | $18 – $18 |
| 24 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 3 | $57 | $50 | $24 | 48% | — | $18 – $77 |
| 25 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 1 | $33 | $33 | $0 | 1% | — | $32 – $33 |
← Payers reporting CPT 90694 · Snapshot 20261111T120946Z-9134e7f7