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
DIP,PERT(A)TET-HEPB-POLIO-HIB PED(PF) 15-5 UNIT-10 MCG/0.5 ML IM SYRNG
Low
$0
Average
$305
Median
$196
High
$13.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
466 hospitals; the 90th percentile is 14.3× 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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691 hospital rates
iThe hospitals that file a Aetna 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 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $207 | $207 | — | — | 22 | $207 – $207 |
| 2 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $110 | $110 | — | — | 21 | $110 – $110 |
| 3 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $125 | $125 | $112 | 89% | 17 | $13 – $237 |
| 4 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $166 | $166 | — | — | 14 | $166 – $166 |
| 5 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $199 | $199 | — | — | 6–60 | $199 – $199 |
| 6 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $94 | $91 | $74 | 81% | 4–40 | $12 – $165 |
| 7 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $247 | $250 | $8 | 3% | 3–30 | $242 – $261 |
| 8 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $702 | $702 | — | — | 2–20 | $702 – $702 |
| 9 | NYU Langone Mineola, NY percent of total billed charges · outpatientfrom % of charges | 25 | $977 | $1.0k | $128 | 13% | 2–20 | $977 – $1.6k |
| 10 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 4 | $228 | $236 | $19 | 8% | 2–20 | $209 – $258 |
| 11 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 4 | $228 | $236 | $19 | 8% | 2–20 | $209 – $258 |
| 12 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $247 | $247 | $6 | 2% | 1–10 | $241 – $252 |
| 13 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $184 | $184 | — | — | 1–10 | $184 – $184 |
| 14 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $184 | $184 | — | — | 1–10 | $184 – $184 |
| 15 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $165 | $165 | — | — | 1–10 | $165 – $165 |
| 16 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $158 | $158 | $9 | 5% | 1–10 | $149 – $166 |
| 17 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 1 | $165 | $165 | — | — | 1–10 | $165 – $165 |
| 18 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $165 | $165 | — | — | 1–10 | $165 – $165 |
| 19 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $158 | $158 | $9 | 5% | 1–10 | $149 – $166 |
| 20 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $157 | $157 | $8 | 5% | 1–10 | $148 – $165 |
| 21 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $158 | $158 | $9 | 5% | 1–10 | $149 – $166 |
| 22 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 3 | $258 | $242 | $20 | 8% | 1–10 | $209 – $258 |
| 23 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 3 | $258 | $242 | $20 | 8% | 1–10 | $209 – $258 |
| 24 | Preston Memorial Hospital Kingwood, WV percent of total billed charges · outpatientfrom % of charges | 2 | $304 | $270 | $48 | 18% | 1–10 | $203 – $304 |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $293 | $293 | — | — | — | $293 – $293 |
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