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
$316
Median
$263
High
$1.2k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
589 hospitals; the 90th percentile is 3.3× 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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747 hospital rates
iThe hospitals that file a Cigna 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 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 2 | $98 | $98 | $77 | 78% | 77 | $22 – $175 |
| 2 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 4 | $207 | $209 | $4 | 2% | 29 | $207 – $218 |
| 3 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | 16 | $55 – $55 |
| 4 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $165 | $165 | — | — | 16 | $165 – $165 |
| 5 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $165 | $165 | — | — | 15 | $165 – $165 |
| 6 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $158 | $158 | — | — | 6–60 | $158 – $158 |
| 7 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $78 | $75 | $61 | 81% | 4–40 | $10 – $136 |
| 8 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $202 | $202 | — | — | 1–10 | $202 – $202 |
| 9 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $313 | $315 | $114 | 36% | 1–10 | $197 – $439 |
| 10 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 1 | $165 | $165 | — | — | 1–10 | $165 – $165 |
| 11 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $165 | $165 | — | — | 1–10 | $165 – $165 |
| 12 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $157 | $157 | $8 | 5% | 1–10 | $148 – $165 |
| 13 | Mayo Clinic Health System Sparta, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $165 | $165 | — | — | 1–10 | $165 – $165 |
| 14 | Mayo Clinic Health System Waseca 56093-2811 facility · percent of total billed charges · bothfrom % of charges | 1 | $157 | $157 | $8 | 5% | 1–10 | $148 – $165 |
| 15 | 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 |
| 16 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $157 | $157 | $8 | 5% | 1–10 | $148 – $165 |
| 17 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $354 | $354 | — | — | 1–10 | $354 – $354 |
| 18 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 1 | $326 | $326 | — | — | 1–10 | $326 – $326 |
| 19 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $326 | $326 | — | — | 1–10 | $326 – $326 |
| 20 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $326 | $326 | — | — | 1–10 | $326 – $326 |
| 21 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $326 | $326 | — | — | 1–10 | $326 – $326 |
| 22 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 3 | $356 | $358 | $14 | 4% | 1–10 | $342 – $376 |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $938 | $766 | $244 | 32% | — | $421 – $938 |
| 24 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 2 | $169 | $169 | — | — | — | $169 – $169 |
| 25 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $188 | $188 | — | — | — | $188 – $188 |
← Payers reporting CPT 90697 · Snapshot 20261111T120946Z-9134e7f7