CPT 90695
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
H5N8 VACC DRV CLL CUL ADJ IM
Low
$0
Average
$3.1k
Median
$20
High
$50k
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17 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 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 2 | $112 | $112 | — | — | — | $112 – $112 |
| 2 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 2 | $112 | $112 | — | — | — | $112 – $112 |
| 3 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 4 | Columbia St. Mary's Hospital Milwaukee, Inc. Milwaukee, WI fee schedule · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI fee schedule · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 7 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 8 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · other · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 9 | Nationwide Children's Hospital Columbus, OH facility · other · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 10 | Riverside Hospital Inc Newport News, VA fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 11 | Riverside Middle Peninsula Hospital, Inc Gloucester, VA fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 12 | SHORE HEALTH SERVICES INC. Onancock, VA fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 13 | Sacred Heart Rehabilitation Institute, Inc. Mequon, WI fee schedule · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Southern Baptist Hospital of Florida, INC Fleming Island, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 15 | Southern Baptist Hospital of Florida, INC FL 32222; 461 Outlet Mall Blvd St. Augustine, FL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 16 | Southern Baptist Hospital of Florida, INC Jacksonville, FL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 17 | Southern Baptist Hospital of Florida, INC Jacksonville, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
← Payers reporting CPT 90695 · Snapshot 20261113T090226Z-3ce6c0b8