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
HC Varicella Vacc Live Pf 0.5ml Subq
Low
$15
Average
$314
Median
$224
High
$5.2k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
367 hospitals; the 90th percentile is 4.2× 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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632 hospital rates
iThe hospitals that file a Anthem 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 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $323 | $332 | $101 | 30% | 103–112 | $205 – $478 |
| 2 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 4 | $191 | $193 | $4 | 2% | 55–91 | $191 – $201 |
| 3 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $289 | $289 | — | — | 46–73 | $289 – $289 |
| 4 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $289 | $289 | — | — | 17–44 | $289 – $289 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 2 | $183 | $182 | $3 | 1% | 6–60 | $176 – $183 |
| 6 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $192 | $192 | — | — | 4–40 | $192 – $192 |
| 7 | DIGNITY HEALTH Merced, CA fee schedule · outpatient | 5 | $52 | $48 | $6 | 12% | 2–20 | $37 – $52 |
| 8 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $192 | $192 | — | — | 1–10 | $192 – $192 |
| 9 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $288 | $288 | — | — | 1–10 | $288 – $288 |
| 10 | NATIONAL JEWISH HEALTH GOLDEN, CO percent of total billed charges · bothfrom % of charges | 1 | $432 | $432 | — | — | 1–10 | $432 – $432 |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $384 | $384 | $9 | 2% | — | $375 – $393 |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $118 | $197 | $124 | 63% | — | $98 – $381 |
| 14 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 1 | $311 | $311 | — | — | — | $311 – $311 |
| 15 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 2 | $196 | $196 | $24 | 12% | — | $172 – $221 |
| 16 | Acadia Hospital Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $217 | $217 | — | — | — | $217 – $217 |
| 17 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 3 | $174 | $174 | — | — | — | $174 – $174 |
| 19 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $474 | $574 | $448 | 78% | — | $110 – $1.2k |
| 20 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $265 | $265 | $200 | 75% | — | $65 – $465 |
| 21 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 4 | $380 | $392 | $54 | 14% | — | $341 – $467 |
| 22 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $648 | $648 | $489 | 75% | — | $159 – $1.1k |
| 23 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $648 | $648 | $489 | 75% | — | $159 – $1.1k |
| 24 | American Hospital Management Corporation Arcata, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $179 | $179 | — | — | — | $179 – $179 |
| 25 | Appalachian Regional Healthcare, Inc. Hazard, KY fee schedule · outpatient | 1 | $220 | $220 | — | — | — | $220 – $220 |
← Payers reporting CPT 90716 · Snapshot 20261111T120946Z-9134e7f7