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
$198
Median
$72
High
$15.9k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
221 hospitals; the 90th percentile is 14.2× 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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289 hospital rates
iThe hospitals that file a Humana 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 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $138 | $138 | — | — | 142 | $138 – $138 |
| 2 | University Medical Center, Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $133 | — | — | 68 | $133 – $133 |
| 3 | UofL Health -Shelbyville, Inc. Shelbyville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $133 | — | — | 68 | $133 – $133 |
| 4 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $133 | — | — | 68 | $133 – $133 |
| 5 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $133 | — | — | 68 | $133 – $133 |
| 6 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $133 | — | — | 68 | $133 – $133 |
| 7 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $133 | — | — | 68 | $133 – $133 |
| 8 | UofL Health-Louisville Inc. Shepherdville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $133 | — | — | 68 | $133 – $133 |
| 9 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $133 | — | — | 68 | $133 – $133 |
| 10 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $133 | — | — | 68 | $133 – $133 |
| 11 | New Liberty Hospital Corporation Liberty, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $127 | $127 | — | — | 29 | $127 – $127 |
| 12 | St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITAL Butte, MT facility · percent of total billed charges · outpatientfrom % of charges | 2 | $117 | $117 | — | — | 2–20 | $117 – $117 |
| 13 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $94 | $94 | — | — | 1–10 | $94 – $94 |
| 14 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | — | — | 1–10 | $49 – $49 |
| 15 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 16 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · inpatient | 1 | $25 | $25 | $0 | 1% | — | $25 – $25 |
| 17 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 1 | $25 | $25 | $0 | 1% | — | $25 – $25 |
| 18 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 1 | $46 | $46 | $1 | 1% | — | $46 – $47 |
| 19 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · inpatient | 1 | $18 | $18 | $0 | 1% | — | $18 – $18 |
| 20 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 1 | $18 | $18 | $0 | 1% | — | $18 – $18 |
| 21 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 1 | $33 | $33 | $0 | 1% | — | $32 – $33 |
| 22 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · inpatient | 1 | $16 | $16 | $0 | 1% | — | $16 – $16 |
| 23 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 1 | $16 | $16 | $0 | 1% | — | $16 – $16 |
| 24 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient | 1 | $15 | $15 | $0 | 1% | — | $15 – $15 |
| 25 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 1 | $15 | $15 | $0 | 1% | — | $15 – $15 |
← Payers reporting CPT 90694 · Snapshot 20261111T120946Z-9134e7f7