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
DIPH,PERTUS(ACEL),TET PED (DTAP) 25-58-10 LF-MCG-LF/0.5ML IM SYRG [19451]
Low
$0
Average
$77
Median
$48
High
$5.3k
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 1571 hospitals; the 90th percentile is 4.3× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA | $57 | $58 | $2 | 3% | 371–398 | $57 – $60 |
| 2 | Mercy Hospital Southeast Girardeau, MO | $22 | $26 | $7 | 29% | 180–225 | $17 – $39 |
| 3 | Mishawaka Medical Center Mishawaka, IN | $41 | $39 | $8 | 20% | 173–416 | $17 – $59 |
| 4 | Spencer Municipal Hospital Spencer, IA | $71 | $71 | $3 | 5% | 161–188 | $68 – $75 |
| 5 | Mercy Health Saint Marys Grand Rapids, MI | $32 | $47 | $19 | 41% | 145–199 | $17 – $97 |
| 6 | Mercy Hospitals East Communities Washington, MO | $22 | $25 | $6 | 26% | 123–150 | $17 – $36 |
| 7 | Prisma Health Baptist Easley Hospital EASLEY, SC | $49 | $53 | $14 | 27% | 67–94 | $43 – $84 |
| 8 | Prisma Health Greenville Memorial Hospital GREENVILLE, SC | $49 | $53 | $14 | 27% | 67–94 | $43 – $84 |
| 9 | Prisma Health Richland Hospital COLUMBIA, SC | $51 | $58 | $14 | 25% | 63 | $46 – $84 |
| 10 | Prisma Health Baptist Parkridge Hospital COLUMBIA, SC | $51 | $58 | $14 | 25% | 63 | $46 – $84 |
Ask Claude or any MCP client for CPT 90700 pricing at a specific hospital — see how to connect.