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
$14
Average
$180
Median
$70
High
$754
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 15.9× 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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29 hospital rates
iThe hospitals that file a Devoted 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 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 2 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $754 | $754 | — | — | — | $754 – $754 |
| 4 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $47 | $53 | $9 | 16% | — | $47 – $65 |
| 5 | Lancaster General Health Lancaster, PA facility · other · outpatient | 1 | $179 | $179 | $142 | 79% | — | $38 – $321 |
| 6 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $159 | $159 | $61 | 38% | — | $98 – $220 |
| 7 | MID-VALLEY HEALTHCARE INC Lebanon, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $41 | $38 | 93% | — | $7 – $94 |
| 8 | Mercy Hospitals East Communities Washington, MO professional · percent of total billed charges · inpatientfrom % of charges | 1 | $33 | $33 | $19 | 58% | — | $14 – $52 |
| 9 | Mercy Hospitals East Communities Washington, MO professional · percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | $19 | 58% | — | $14 – $52 |
| 10 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 11 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 12 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 13 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $2 | 10% | — | $21 – $27 |
| 14 | Northwest Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 15 | Northwest Sahurita Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 16 | Oro Valley Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 17 | SAMARITAN NORTH LINCOLN HOSPITAL Lincoln City, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $51 | $47 | 93% | — | $9 – $116 |
| 18 | SAMARITAN PACIFIC HEALTH SERVICES INC Newport, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $46 | $43 | 93% | — | $8 – $107 |
| 19 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 20 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 21 | St Peters Hospital Albany, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 22 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 23 | St. Charles Madras Madras, OR percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 24 | SwedishAmerican Hospital IL 61104; 1625 S State St Belvidere, IL percent of total billed charges · outpatientfrom % of charges | 1 | $692 | $692 | — | — | — | $692 – $692 |
| 25 | The Chester County Hospital West Chester, PA facility · other · outpatient | 1 | $612 | $612 | — | — | — | $612 – $612 |
← Payers reporting CPT 90713 · Snapshot 20261111T120946Z-9134e7f7