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
$21
Average
$137
Median
$68
High
$763
Each hospital's average Kaiser rate, under the methodology and billing class chosen below.
49 hospitals; the 90th percentile is 10.6× 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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71 hospital rates
iThe hospitals that file a Kaiser 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 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 2 | $82 | $82 | $51 | 62% | — | $31 – $133 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 3 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $4 | 26% | — | $12 – $21 |
| 4 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 5 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $198 | $198 | $57 | 29% | — | $140 – $255 |
| 6 | Benefis Hospitals Inc Helena, MT percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $53 | $15 | 29% | — | $37 – $68 |
| 7 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · inpatientfrom % of charges | 2 | $22 | $21 | $1 | 6% | — | $19 – $22 |
| 8 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $22 | $21 | $1 | 6% | — | $19 – $22 |
| 9 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · inpatientfrom % of charges | 3 | $222 | $233 | $23 | 10% | — | $211 – $265 |
| 10 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · outpatientfrom % of charges | 3 | $221 | $230 | $21 | 9% | — | $210 – $258 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO percent of total billed charges · outpatientfrom % of charges | 2 | $333 | $333 | $75 | 22% | — | $258 – $408 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $367 | $367 | — | — | — | $367 – $367 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $367 | $367 | — | — | — | $367 – $367 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · inpatientfrom % of charges | 2 | $621 | $621 | $72 | 12% | — | $549 – $694 |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 3 | $549 | $454 | $243 | 53% | — | $121 – $694 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO percent of total billed charges · inpatientfrom % of charges | 3 | $222 | $233 | $23 | 10% | — | $211 – $265 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO percent of total billed charges · outpatientfrom % of charges | 3 | $221 | $230 | $21 | 9% | — | $210 – $258 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $367 | $367 | — | — | — | $367 – $367 |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $367 | $367 | — | — | — | $367 – $367 |
| 20 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 21 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 22 | DIGNITY HEALTH Merced, CA fee schedule · inpatient | 2 | $60 | $60 | $28 | 47% | — | $32 – $88 |
| 23 | DIGNITY HEALTH Merced, CA fee schedule · outpatient | 2 | $60 | $60 | $28 | 47% | — | $32 – $88 |
| 24 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 25 | Eisenhower Medical Center Rancho Mirage, CA percent of total billed charges · bothfrom % of charges | 19 | $121 | $111 | $10 | 9% | — | $101 – $121 |
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