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
Ppsv23 vacc 2 yrs+ subq/im
Low
$0
Average
$147
Median
$133
High
$2.1k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
341 hospitals; the 90th percentile is 5.7× 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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400 hospital rates
iThe hospitals that file a WellCare 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 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $160 | $160 | — | — | 18 | $160 – $160 |
| 2 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · bothfrom % of charges | 1 | $78 | $60 | $26 | 44% | 3–30 | $22 – $78 |
| 3 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $99 | $82 | 83% | 2–20 | $17 – $181 |
| 4 | Eastern Maine Medical Center Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $142 | $142 | — | — | 1–10 | $142 – $142 |
| 5 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | 1–10 | $26 – $26 |
| 6 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 3 | $100 | $85 | $26 | 30% | 1–10 | $41 – $100 |
| 7 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 3 | $100 | $85 | $26 | 30% | 1–10 | $41 – $100 |
| 8 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 3 | $254 | $183 | $101 | 55% | 1–10 | $39 – $254 |
| 9 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 2 | $74 | $74 | $14 | 19% | 1–10 | $60 – $88 |
| 10 | The University of Tennessee Medical Center Knoxville, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $277 | $277 | — | — | 1–10 | $277 – $277 |
| 11 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 12 | AGH LAVEEN LLC Phoenix, AZ fee schedule · inpatient | 1 | $347 | $347 | — | — | — | $347 – $347 |
| 13 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 1 | $347 | $347 | — | — | — | $347 – $347 |
| 14 | AGH MESA LLC Mesa, AZ fee schedule · inpatient | 1 | $347 | $347 | — | — | — | $347 – $347 |
| 15 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 1 | $347 | $347 | — | — | — | $347 – $347 |
| 16 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $143 | $143 | $3 | 2% | — | $140 – $147 |
| 17 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 18 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 19 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $129 | $129 | — | — | — | $129 – $129 |
| 20 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $151 | $151 | $1 | 1% | — | $151 – $152 |
| 21 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 22 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 2 | $17 | $17 | $3 | 19% | — | $14 – $20 |
| 23 | Aiken Regional Medical Centers North Augusta, SC fee schedule · both | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 24 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $633 | $633 | $21 | 3% | — | $612 – $654 |
| 25 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
← Payers reporting CPT 90732 · Snapshot 20261111T120946Z-9134e7f7