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
$211
Median
$161
High
$2.0k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
288 hospitals; the 90th percentile is 12.0× 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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338 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 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $123 | $217 | $133 | 61% | 1–10 | $123 – $406 |
| 2 | ALBANY GENERAL HOSPITAL Albany, OR professional · percent of total billed charges · outpatientfrom % of charges | 4 | $90 | $90 | $75 | 83% | — | $15 – $165 |
| 3 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $231 | $231 | — | — | — | $231 – $231 |
| 4 | Aiken Regional Medical Centers North Augusta, SC percent of total billed charges · bothfrom % of charges | 1 | $613 | $613 | $28 | 5% | — | $585 – $641 |
| 5 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 6 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $174 | $174 | — | — | — | $174 – $174 |
| 7 | BRFHH MONROE, LLC Monroe, LA fee schedule · outpatient | 1 | $184 | $184 | — | — | — | $184 – $184 |
| 8 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 9 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · outpatientfrom % of charges | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 10 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · outpatientfrom % of charges | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 11 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 12 | Bartow Regional Medical Center Bartow, FL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 13 | BayCare Alliant Hospital Dunedin, FL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 14 | Baycare Hospital Wesley Chapel Chapel, FL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 15 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $651 | $435 | $307 | 71% | — | $1 – $651 |
| 16 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 1 | $651 | $435 | $307 | 71% | — | $1 – $651 |
| 17 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 1 | $651 | $435 | $307 | 71% | — | $1 – $651 |
| 18 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 1 | $651 | $435 | $307 | 71% | — | $1 – $651 |
| 19 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $651 | $435 | $307 | 71% | — | $1 – $651 |
| 20 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 1 | $651 | $435 | $307 | 71% | — | $1 – $651 |
| 21 | Boston Children's Hospital Waltham, MA percent of total billed charges · bothfrom % of charges | 1 | $651 | $435 | $307 | 71% | — | $1 – $651 |
| 22 | Boston Children's Hospital Needham, MA percent of total billed charges · bothfrom % of charges | 1 | $651 | $435 | $307 | 71% | — | $1 – $651 |
| 23 | Boston Children's Hospital Weymouth, MA percent of total billed charges · bothfrom % of charges | 1 | $651 | $435 | $307 | 71% | — | $1 – $651 |
| 24 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 25 | CATHOLIC MEDICAL CENTER MANCHESTER, NH fee schedule · outpatient | 1 | $161 | $161 | — | — | — | $161 – $161 |
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