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
$12
Average
$346
Median
$74
High
$2.2k
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
8 hospitals; the 90th percentile is 28.0× 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.
Filter by billing methodology
Filter by billing class
10 hospital rates
iThe hospitals that file a Devoted 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 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 2 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 3 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 5 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 6 | Las Cruces Medical Center LLC Las Cruces, NM facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 7 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 8 | Mercy Hospitals East Communities Washington, MO professional · percent of total billed charges · inpatientfrom % of charges | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 9 | Mercy Hospitals East Communities Washington, MO professional · percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 10 | YAVAPAI COMMUNITY HOSPITAL ASSOCIATION Prescott Valley, AZ fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
← Payers reporting CPT 90694 · Snapshot 20261111T120946Z-9134e7f7