Tetanus vaccine injection, unscheduled

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Fee Schedule

Anthem pricing summary

Low

$26

Average

$1.1k

Median

$48

High

$26.0k

Anthem rate distribution

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27 hospital rates

#		Plans
1	Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient	8	$48	$48	—	—	—	$48 – $48
2	Carmel AmbSurg Carmel, IN fee schedule · outpatient	8	$48	$48	—	—	—	$48 – $48
3	Curators of the University of Missouri Jefferson City, MO facility · fee schedule · outpatient	3	$113	$113	—	—	—	$113 – $113
4	Endo Surgery Center Carmel, IN fee schedule · outpatient	8	$48	$48	—	—	—	$48 – $48
5	Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges	3	$25.9k	$26.0k	$165	1%	—	$25.9k – $26.3k
6	HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges	2	$26	$26	$8	31%	—	$18 – $35
7	HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · outpatientfrom % of charges	2	$26	$26	$8	31%	—	$18 – $35
8	Naab Road Surgery Center Indianapolis, IN fee schedule · outpatient	8	$48	$48	—	—	—	$48 – $48
9	Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient	1	$350	$350	—	—	—	$350 – $350
10	Pemiscot Memorial Health System Hayti, MO percent of total billed charges · outpatientfrom % of charges	1	$76	$76	$4	6%	—	$72 – $81
11	St. Joseph Hospital & Health Center, Inc. Kokomo, IN fee schedule · outpatient	8	$48	$48	—	—	—	$48 – $48
12	St. Mary's Health, Inc. IN 47750; 10388 Warrick Wellness Trail Newburgh, IN fee schedule · outpatient	8	$48	$48	—	—	—	$48 – $48
13	St. Mary's Warrick Hospital, Inc. Boonville, IN fee schedule · outpatient	10	$48	$48	—	—	—	$48 – $48
14	St. Vincent Anderson Regional Hospital, Inc. Anderson, IN fee schedule · outpatient	8	$48	$48	—	—	—	$48 – $48
15	St. Vincent Carmel Hospital, Inc. Carmel, IN fee schedule · outpatient	8	$48	$48	—	—	—	$48 – $48
16	St. Vincent Clay Hospital, Inc. Brazil, IN fee schedule · outpatient	8	$48	$48	—	—	—	$48 – $48
17	St. Vincent Fishers Hospital, Inc. Fishers, IN fee schedule · outpatient	8	$48	$48	—	—	—	$48 – $48
18	St. Vincent Jennings Hospital, Inc. Vernon, IN fee schedule · outpatient	8	$48	$48	—	—	—	$48 – $48
19	St. Vincent Madison County Health System, Inc. Elwood, IN fee schedule · outpatient	8	$48	$48	—	—	—	$48 – $48
20	St. Vincent Randolph Hospital, Inc. Winchester, IN fee schedule · outpatient	8	$48	$48	—	—	—	$48 – $48
21	St. Vincent Salem Hospital, Inc. Salem, IN fee schedule · outpatient	8	$48	$48	—	—	—	$48 – $48
22	St. Vincent Seton Specialty Hospital, Inc. Indianapolis, IN fee schedule · outpatient	8	$48	$48	—	—	—	$48 – $48
23	St. Vincent Williamsport Hospital, Inc. Williamsport, IN fee schedule · outpatient	8	$48	$48	—	—	—	$48 – $48
24	TWIN CITY HOSPITAL CORPORATION Dennison, OH fee schedule · inpatient	3	$63	$66	$48	73%	—	$17 – $116
25	TWIN CITY HOSPITAL CORPORATION Dennison, OH fee schedule · outpatient	1	$27	$27	$20	73%	—	$7 – $47

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← Payers reporting CPT 90703 · Snapshot 20261112T181611Z-3fa9fb76

CPT 90703