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
$305
Median
$96
High
$8.2k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1040 hospitals; the 90th percentile is 22.1× 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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1,430 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 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $130 | $130 | $4 | 3% | 16–43 | $126 – $134 |
| 2 | Northside Hospital, Inc. Cumming, GA other · outpatient | 5 | $171 | $145 | $53 | 37% | 5–50 | $39 – $171 |
| 3 | Northside Hospital, Inc. Atlanta, GA other · outpatient | 5 | $171 | $146 | $51 | 35% | 4–40 | $44 – $171 |
| 4 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 3 | $1000 | $961 | $55 | 6% | 2–20 | $884 – $1000 |
| 5 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $94 | $106 | $19 | 18% | 2–20 | $90 – $133 |
| 6 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | $1 | 4% | 2–20 | $15 – $17 |
| 7 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $68 | $68 | $5 | 7% | 2–20 | $63 – $73 |
| 8 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $66 | — | — | 2–20 | $66 – $66 |
| 9 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 2 | $49 | $46 | $4 | 8% | 1–10 | $41 – $49 |
| 10 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $75 | — | — | 1–10 | $75 – $75 |
| 11 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $69 | $69 | — | — | 1–10 | $69 – $69 |
| 12 | LEE MEMORIAL HOSPITAL FORT MYERS, FL professional · fee schedule · both | 1 | $177 | $177 | — | — | 1–10 | $177 – $177 |
| 13 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 4 | $79 | $80 | $2 | 2% | 1–10 | $79 – $83 |
| 14 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $301 | $301 | $13 | 4% | 1–10 | $288 – $314 |
| 15 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | 1–10 | $40 – $40 |
| 16 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $45 | $45 | $5 | 11% | 1–10 | $40 – $50 |
| 17 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $45 | $45 | $5 | 11% | 1–10 | $40 – $50 |
| 18 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 3 | $36 | $36 | $14 | 40% | 1–10 | $22 – $50 |
| 19 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $460 | $460 | — | — | 1–10 | $460 – $460 |
| 20 | Newton Wellesley Hospital Newton, MA percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $75 | — | — | 1–10 | $75 – $75 |
| 21 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 2 | $34 | $34 | $9 | 26% | 1–10 | $25 – $43 |
| 22 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $671 | $671 | — | — | 1–10 | $671 – $671 |
| 23 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | 1–10 | $71 – $71 |
| 24 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | $47 | 83% | — | $10 – $104 |
| 25 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
← Payers reporting CPT 90713 · Snapshot 20261111T120946Z-9134e7f7