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 Meningococcal Serogroups a/C/Y/W-135 Quadrivalent (Mcv4/Menacwy) Im
Low
$0
Average
$363
Median
$257
High
$31.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1130 hospitals; the 90th percentile is 5.8× 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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1,811 hospital rates
iThe hospitals that file a Aetna 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 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $170 | $167 | $5 | 3% | 63 | $160 – $170 |
| 2 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $328 | $328 | $19 | 6% | 53 | $309 – $347 |
| 3 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 4 | $145 | $135 | $60 | 44% | 44 | $45 – $204 |
| 4 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $191 | $191 | — | — | 41 | $191 – $191 |
| 5 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $191 | $191 | — | — | 38 | $191 – $191 |
| 6 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $191 | $191 | — | — | 29 | $191 – $191 |
| 7 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 2 | $141 | $141 | $38 | 27% | 24 | $103 – $179 |
| 8 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $191 | $191 | — | — | 22 | $191 – $191 |
| 9 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $96 | $14 | 14% | 15 | $84 – $115 |
| 10 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 25 | $644 | $661 | $84 | 13% | 13–31 | $644 – $1.1k |
| 11 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $191 | $191 | — | — | 12 | $191 – $191 |
| 12 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $170 | $167 | $5 | 3% | 12 | $160 – $170 |
| 13 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $184 | $184 | — | — | 11 | $184 – $184 |
| 14 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $125 | $358 | $466 | 130% | 8–80 | $13 – $1.2k |
| 15 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · bothfrom % of charges | 1 | $540 | $439 | $163 | 37% | 5–50 | $121 – $540 |
| 16 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $189 | $213 | $44 | 21% | 4–40 | $184 – $288 |
| 17 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $162 | $162 | $6 | 4% | 4–40 | $156 – $168 |
| 18 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $286 | $286 | — | — | 2–20 | $286 – $286 |
| 19 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $718 | $517 | $284 | 55% | 2–20 | $115 – $718 |
| 20 | NYU Langone Mineola, NY percent of total billed charges · outpatientfrom % of charges | 25 | $644 | $661 | $84 | 13% | 2–20 | $644 – $1.1k |
| 21 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $599 | $599 | $0 | 0% | 2–20 | $599 – $599 |
| 22 | REEDLEY COMMUNITY HOSPITAL Reedley, CA percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | $41 | 61% | 2–20 | $26 – $108 |
| 23 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $191 | $191 | — | — | 2–20 | $191 – $191 |
| 24 | Richland Memorial Hospital Inc Olney, IL percent of total billed charges · outpatientfrom % of charges | 5 | $122 | $124 | $64 | 52% | 2–20 | $53 – $212 |
| 25 | Spencer Municipal Hospital Spencer, IA percent of total billed charges · outpatientfrom % of charges | 2 | $226 | $226 | $6 | 3% | 2–20 | $220 – $232 |
← Payers reporting CPT 90734 · Snapshot 20261111T120946Z-9134e7f7