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
$35
Average
$60
Median
$53
High
$133
Each hospital's average Superior Healthplan rate, under the methodology and billing class chosen below.
7 hospitals; the 90th percentile is 2.3× 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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12 hospital rates
iThe hospitals that file a Superior Healthplan 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 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · inpatient | 1 | $63 | $63 | $0 | 1% | — | $62 – $63 |
| 2 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 1 | $63 | $63 | $0 | 1% | — | $62 – $63 |
| 3 | ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND Sugar Land, TX fee schedule · inpatient | 1 | $133 | $133 | $1 | 1% | — | $132 – $134 |
| 4 | ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND Sugar Land, TX fee schedule · outpatient | 1 | $133 | $133 | $1 | 1% | — | $132 – $134 |
| 5 | ST. LUKE'S COMMUNITY HEALTH SERVICES The Woodlands, TX fee schedule · inpatient | 1 | $43 | $43 | $0 | 1% | — | $43 – $43 |
| 6 | ST. LUKE'S COMMUNITY HEALTH SERVICES The Woodlands, TX fee schedule · outpatient | 1 | $43 | $43 | $0 | 1% | — | $43 – $43 |
| 7 | ST. LUKE'S COMMUNITY HEALTH SERVICES Spring, TX fee schedule · inpatient | 1 | $43 | $43 | $0 | 1% | — | $43 – $43 |
| 8 | ST. LUKE'S COMMUNITY HEALTH SERVICES Spring, TX fee schedule · outpatient | 1 | $43 | $43 | $0 | 1% | — | $43 – $43 |
| 9 | ST. LUKES HOSPITAL AT THE VINTAGE Houston, TX fee schedule · inpatient | 1 | $35 | $35 | $0 | 1% | — | $35 – $35 |
| 10 | ST. LUKES HOSPITAL AT THE VINTAGE Houston, TX fee schedule · outpatient | 1 | $35 | $35 | $0 | 1% | — | $35 – $35 |
| 11 | Victoria of Texas LP Victoria, TX facility · other · outpatient | 2 | $53 | $53 | $13 | 25% | — | $40 – $66 |
| 12 | Victoria of Texas LP Victoria, TX facility · other · outpatient | 2 | $53 | $53 | $13 | 25% | — | $40 – $66 |
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