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
PR Vaccine Polio (Ipv) Subcutaneous/Im
Low
$0
Average
$325
Median
$96
High
$5.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
957 hospitals; the 90th percentile is 25.2× 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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1,515 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 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $54 | $61 | $11 | 18% | 5–50 | $52 – $76 |
| 2 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $1.1k | $1.1k | $35 | 3% | 3–30 | $1.1k – $1.1k |
| 3 | Spencer Municipal Hospital Spencer, IA percent of total billed charges · outpatientfrom % of charges | 2 | $45 | $45 | $1 | 3% | 2–20 | $44 – $47 |
| 4 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 2 | $89 | $308 | $436 | 142% | 2–20 | $0 – $1.1k |
| 5 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 4 | $70 | $68 | $4 | 6% | 2–20 | $61 – $72 |
| 6 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $847 | $847 | $50 | 6% | 2–20 | $797 – $896 |
| 7 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 12 | $61 | $59 | $23 | 38% | 2–20 | $19 – $99 |
| 8 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | 2–20 | $71 – $71 |
| 9 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | — | — | 1–10 | $77 – $77 |
| 10 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · inpatient | 4 | $92 | $92 | — | — | 1–10 | $92 – $92 |
| 11 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | 1–10 | $71 – $71 |
| 12 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $79 | $79 | — | — | 1–10 | $79 – $79 |
| 13 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $314 | $318 | $8 | 3% | 1–10 | $314 – $334 |
| 14 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | 1–10 | $40 – $40 |
| 15 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $51 | $49 | $3 | 5% | 1–10 | $45 – $51 |
| 16 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $51 | $49 | $3 | 5% | 1–10 | $45 – $51 |
| 17 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 4 | $209 | $210 | $12 | 6% | 1–10 | $198 – $225 |
| 18 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 2 | $48 | $48 | $2 | 4% | 1–10 | $46 – $50 |
| 19 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $83 | — | — | 1–10 | $83 – $83 |
| 20 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 25 | $288 | $296 | $38 | 13% | 1–10 | $288 – $480 |
| 21 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $120 | $120 | — | — | 1–10 | $120 – $120 |
| 22 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $87 | $87 | — | — | 1–10 | $87 – $87 |
| 23 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | $39 | 83% | — | $8 – $86 |
| 24 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 25 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | $35 | 72% | — | $14 – $83 |
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