Adjuvanted flu vaccine, preservative-free, 0.5 mL shot

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Vacc aiiv4 no prsrv 0.5ml im

Cigna Healthspring pricing summary

Low

Average

$41

Median

$29

High

$158

Cigna Healthspring rate distribution

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25 hospital rates

#		Plans
1	CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · inpatient	2	$42	$42	$0	1%	—	$41 – $42
2	CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient	2	$42	$42	$0	1%	—	$41 – $42
3	Kemper CAH, Inc. DeKalb, MS other · outpatient	1	$67	$67	—	—	—	$67 – $67
4	Laird Hospital, Inc. Union, MS other · outpatient	1	$177	$158	$40	26%	—	$70 – $196
5	MEMORIAL HEALTH SYSTEM OF EAST TEXAS Lufkin, TX fee schedule · inpatient	2	$4	$4	$0	1%	—	$4 – $4
6	MEMORIAL HEALTH SYSTEM OF EAST TEXAS Lufkin, TX fee schedule · outpatient	2	$4	$4	$0	1%	—	$4 – $4
7	MEMORIAL HOSPITAL OF POLK COUNTY Livingston, TX fee schedule · inpatient	2	$4	$4	$0	1%	—	$4 – $4
8	MEMORIAL HOSPITAL OF POLK COUNTY Livingston, TX fee schedule · outpatient	2	$4	$4	$0	1%	—	$4 – $4
9	MEMORIAL MEDICAL CENTER SAN AUGUSTINE San Augustine, TX fee schedule · outpatient	2	$6	$6	$0	1%	—	$6 – $6
10	Rush Hospital/Butler, Inc. Butler, AL other · outpatient	1	$50	$50	—	—	—	$50 – $50
11	Rush Medical Foundation Meridian, MS other · outpatient	1	$28	$28	—	—	—	$28 – $28
12	Rush Medical Foundation Quitman, MS other · outpatient	1	$64	$64	—	—	—	$64 – $64
13	ST LUKE'S LAKESIDE HOSPITAL, LLC The Woodlands, TX fee schedule · inpatient	2	$29	$29	$0	1%	—	$28 – $29
14	ST LUKE'S LAKESIDE HOSPITAL, LLC The Woodlands, TX fee schedule · outpatient	2	$29	$29	$0	1%	—	$28 – $29
15	ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND Sugar Land, TX fee schedule · inpatient	2	$89	$89	$1	1%	—	$88 – $90
16	ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND Sugar Land, TX fee schedule · outpatient	2	$89	$89	$1	1%	—	$88 – $90
17	ST. LUKE'S COMMUNITY HEALTH SERVICES The Woodlands, TX fee schedule · inpatient	2	$29	$29	$0	1%	—	$28 – $29
18	ST. LUKE'S COMMUNITY HEALTH SERVICES The Woodlands, TX fee schedule · outpatient	2	$29	$29	$0	1%	—	$28 – $29
19	ST. LUKE'S COMMUNITY HEALTH SERVICES Spring, TX fee schedule · inpatient	2	$29	$29	$0	1%	—	$28 – $29
20	ST. LUKE'S COMMUNITY HEALTH SERVICES Spring, TX fee schedule · outpatient	2	$29	$29	$0	1%	—	$28 – $29
21	ST. LUKES HOSPITAL AT THE VINTAGE Houston, TX fee schedule · inpatient	2	$24	$24	$0	1%	—	$23 – $24
22	ST. LUKES HOSPITAL AT THE VINTAGE Houston, TX fee schedule · outpatient	2	$24	$24	$0	1%	—	$23 – $24
23	Scott Regional Medical Center, Inc. Morton, MS other · outpatient	1	$56	$56	—	—	—	$56 – $56
24	University of Virginia Haymarket Medical Center Haymarket, VA percent of total billed charges · bothfrom % of charges	1	$12	$12	—	—	—	$12 – $12
25	University of Virginia Prince William Medical Center Manassas, VA percent of total billed charges · bothfrom % of charges	1	$15	$15	—	—	—	$15 – $15

← Payers reporting CPT 90694 · Snapshot 20261111T120946Z-9134e7f7

CPT 90694