CPT 90721
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
DTAP/HIB VACCINE IM UNSCHEDULED
Low
$12
Average
$2.8k
Median
$45
High
$33.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
22 payers; the 90th percentile is 401.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +7 other terms | 24 | $159 | $183 | $108 | 59% | — | $56 – $341 |
| 2 | Anthem fee schedule · outpatient · +3 other terms | 18 | $53 | $54 | $13 | 25% | — | $53 – $212 |
| 3 | UnitedHealthcare professional · percent of total billed charges · bothfrom % of charges · +2 other terms | 7 | $13 | $18 | $21 | 121% | — | $1 – $76 |
| 4 | First Health fee schedule · both · +2 other terms | 5 | $45 | $45 | — | — | — | $45 – $45 |
| 5 | MultiPlan professional · percent of total billed charges · bothfrom % of charges · +3 other terms | 5 | $44 | $43 | $36 | 84% | — | $2 – $88 |
| 6 | Aetna fee schedule · outpatient · +5 other terms | 4 | $237 | $237 | $67 | 28% | — | $170 – $303 |
| 7 | Caresource professional · percent of total billed charges · bothfrom % of charges | 4 | $22 | $22 | $21 | 95% | — | $1 – $43 |
| 8 | Cigna other · both · +4 other terms | 3 | $180 | $181 | $3 | 1% | — | $175 – $182 |
| 9 | Highmark facility · fee schedule · outpatient | 3 | $51 | $52 | $2 | 4% | — | $51 – $57 |
| 10 | Aetna Better Health fee schedule · inpatient | 2 | $186 | $186 | — | — | — | $186 – $186 |
← Hospitals reporting CPT 90721 · Snapshot 20261113T090226Z-3ce6c0b8