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
$79
Median
$60
High
$494
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
54 hospitals; the 90th percentile is 7.4× 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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66 hospital rates
iThe hospitals that file a Medicaid 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 | Lowell General Hospital Lowell, MA other · both | 1 | $494 | $494 | — | — | 1–10 | $494 – $494 |
| 2 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $119 | $119 | $108 | 91% | — | $11 – $227 |
| 3 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $29 | $75 | $80 | 108% | — | $27 – $214 |
| 4 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $126 | $126 | $88 | 70% | — | $38 – $214 |
| 5 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $17 | $17 | $1 | 5% | — | $16 – $18 |
| 6 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $17 | $17 | $1 | 5% | — | $16 – $18 |
| 7 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 8 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 9 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 10 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 11 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 12 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 13 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 14 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 2 | $16 | $16 | $1 | 5% | — | $16 – $17 |
| 15 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $65 | $65 | — | — | — | $65 – $65 |
| 16 | FISHERMENS HEALTH, INC MARATHON, FL fee schedule · both | 2 | $16 | $16 | $1 | 5% | — | $16 – $17 |
| 17 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · both | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 18 | HMA Santa Rosa Medical Center LLC Milton, FL facility · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 19 | HOMESTEAD HOSPITAL Homestead, FL fee schedule · both | 2 | $16 | $16 | $1 | 5% | — | $16 – $17 |
| 20 | Holyoke Medical Center Holyoke, MA facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 21 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 22 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · other · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 23 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 24 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $125 | $122 | $69 | 56% | — | $44 – $214 |
| 25 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $494 | $494 | — | — | — | $494 – $494 |
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