Inactivated polio vaccine injection

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

PR Vaccine Polio (Ipv) Subcutaneous/Im

Tricare pricing summary

Low

Average

$422

Median

$48

High

$25.0k

Tricare rate distribution

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126 hospital rates

#		Plans
1	Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient	1	$47	$47	—	—	1–10	$47 – $47
2	Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient	1	$42	$42	—	—	1–10	$42 – $42
3	ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient	4	$45	$45	—	—	—	$45 – $45
4	AnMed Health Anderson, SC professional · fee schedule · outpatient	1	$45	$45	—	—	—	$45 – $45
5	AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient	1	$45	$45	—	—	—	$45 – $45
6	AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient	1	$45	$45	—	—	—	$45 – $45
7	Anderson Hospital Maryville, IL facility · fee schedule · outpatient	1	$50k	$50k	—	—	—	$50k – $50k
8	Anderson Hospital Maryville, IL professional · other · outpatient	1	$47	$47	—	—	—	$47 – $47
9	Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient	1	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
10	Aspirus Keweenaw Hospital Laurium, MI fee schedule · both	1	$45	$45	—	—	—	$45 – $45
11	Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both	1	$45	$45	—	—	—	$45 – $45
12	Aspirus Wausau Hospital Wausau, WI fee schedule · both	1	$45	$45	—	—	—	$45 – $45
13	Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI fee schedule · both	1	$45	$45	—	—	—	$45 – $45
14	Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient	1	$74	$74	—	—	—	$74 – $74
15	Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient	1	$45	$45	—	—	—	$45 – $45
16	Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient	1	$167	$167	—	—	—	$167 – $167
17	COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient	4	$45	$45	—	—	—	$45 – $45
18	CORNING HOSPITAL Corning, NY facility · other · outpatient	1	$2.1k	$2.1k	$2.0k	97%	—	$65 – $4.1k
19	Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges	1	$46	$46	—	—	—	$46 – $46
20	Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient	1	$47	$47	—	—	—	$47 – $47
21	CentraState Medical Center Freehold Township, NJ other · outpatient	2	$83	$83	—	—	—	$83 – $83
22	Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges	1	$66	$66	—	—	—	$66 – $66
23	Chilton Medical Center Pompton Plains, NJ other · outpatient	2	$83	$83	—	—	—	$83 – $83
24	Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges	1	$19	$19	—	—	—	$19 – $19
25	Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient	1	$14	$14	$2	11%	—	$12 – $15