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
Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use
Low
$10
Average
$52
Median
$34
High
$276
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
82 hospitals; the 90th percentile is 8.4× 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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94 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $276 | $276 | — | — | — | $276 – $276 |
| 2 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 3 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | $14 | 54% | — | $12 – $39 |
| 4 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | $11 | 54% | — | $9 – $31 |
| 5 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | $15 | 54% | — | $12 – $42 |
| 6 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 7 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 8 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 9 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | $21 | 54% | — | $18 – $61 |
| 10 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | $21 | 54% | — | $18 – $61 |
| 11 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | $21 | 54% | — | $18 – $61 |
| 12 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | $21 | 54% | — | $18 – $61 |
| 13 | CentraState Medical Center Freehold Township, NJ other · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 14 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 15 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 16 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 17 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $44 | $28 | 64% | — | $5 – $69 |
| 18 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 19 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 20 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 21 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 22 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 23 | Geisinger St Luke's Hospital - Orwigsburg Campus Orwigsburg, PA facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 24 | HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH JENA, LA fee schedule · both | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 25 | HSA CGH LLC Coral Gables, FL facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
← Payers reporting CPT 90696 · Snapshot 20261111T120946Z-9134e7f7